Payam Barzivand, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

54590 Issued in CA

Practice address

6251 Van Nuys Blvd
Van Nuys, CA 91401-2711

Phone

(818) 782-5020

Fax

(818) 782-2454

NPI assigned

Sep 18, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Payam Barzivand, D.D.S., Inc.

  dba Affordable Gentle Dental

  • Dentist
  • Van Nuys, CA
  • NPI 1629376827
  Medicare reassignment NPD Authorized official
• Barzivand DDS PC

  • General Practice Dentistry
  • Panorama City, CA
  • NPI 1871281774
  NPD Authorized official
• Barzivand Dental Corporation

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1699234344
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1760678270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 DOMAN AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012711",
            "telephone_number": "818-782-5020",
            "fax_number": "818-782-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARZIVAND",
        "first_name": "PAYAM",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "54590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Elaine Barrows, NP
• Bars Hospice Care, Inc
• Roselyn Barssoumian, MSN, FNP-BC, RN, PHN
• Mariana Fernanda Bartolacci I
• Rhex Bartolome
• Selena Basile
• Maral Basmajian, DC
• Laura Bass, LMFT
• Mayra Noemi Basteris
• Rachel Basurto

• Dentist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.