Individual provider Active NPI

Siavash Golaby Sanajany, D.M.D.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1760854087
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
65041 Issued in CA
Practice address
10921 Wilshire Blvd Ste 1212
Los Angeles, CA 90024-4000
Phone
(818) 922-4057
NPI assigned
Oct 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 65041 CA Primary

Addresses

Primary practice location

10921 Wilshire Blvd Ste 1212
Los Angeles, CA 90024-4000

Mailing address

10921 Wilshire Blvd Ste 1212
Los Angeles, CA 90024-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65041CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Siavash Golaby Sanajany DMD Inc CurrentSince Feb 1, 2022 Accepting new patients

Locations

10921 Wilshire Blvd
Ste 1212
Los Angeles, CA 90024
Phone (310) 443-4000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1760854087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD STE 1212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD STE 1212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244000",
            "telephone_number": "818-922-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLABY SANAJANY",
        "first_name": "SIAVASH",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-26",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.