Jasveen Wadia, D.D.S

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

62731 Issued in CA

Practice address

1100 Wilshire Blvd Apt 3409
Los Angeles, CA 90017-1957

Phone

(760) 519-5577

NPI assigned

May 5, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1760869184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WILSHIRE BLVD APT 3409",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171957",
            "telephone_number": "760-519-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILSHIRE BLVD APT 3409",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171957",
            "telephone_number": "760-519-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADIA",
        "first_name": "JASVEEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62731",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "62731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Tatianna Wade
• Tanisha Wade
• Mitali Wadekar, M.D.
• Peter Schaaff Wadhams, DPM
• Isha Wadhawan, M.D.
• Subeer K Wadia, M.D.
• Nicky Mahboob Wadiwala, D.O.
• Zerghona Wadood, MD
• Timothy Garth Wadsworth
• Norwan Moaleji Wafa, PHARM.D.

• Periodontics in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.