Active NPI
Siavash Golaby Sanajany, D.M.D.
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1760854087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 65041
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 65041 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siavash Golaby Sanajany DMD Inc | Current | 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.