Active NPI
Fernanda Scandelari Morais, DMD
- Dentist
- Burbank, CA
National Provider Identifier
1770052854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 106940
- Practice address
- 140 N Victory Blvd Ste 101
Burbank, CA 91502-1848 - Phone
- (323) 773-2200
- NPI assigned
- Nov 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 061038 | NY | |
| Dentist | 122300000X | 106940 | CA | Primary |
Addresses
Primary practice location
140 N Victory Blvd Ste 101
Burbank, CA 91502-1848
Mailing address
906 N Doheny Dr Apt 505
West Hollywood, CA 90069-3163
Phone (973) 462-0648
Other practice location 1
6320 Commodore Sloat Dr
Los Angeles, CA 90048-5453
Phone (323) 936-9997
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106940 | CA | MD | Dentist |
| 061038 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ganji DMD Dental Corporation | Past | Accepting new patients | |
| Ganji Dental Corporation | Past | Accepting new patients | |
| Cherag Dinshaw Sarkari DDS a Dental Corporation | Past | Accepting new patients | |
| Western Dental Services, Inc. | Dentist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Practice Dentistry
- Cudahy, CA
- NPI 1215298757
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1598055527
-
- Preferred Provider Organization
- Hawthorne, CA
- NPI 1912319088
-
- Dentist
- Cudahy, CA
- NPI 1851865349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1770052854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 N DOHENY DR APT 505",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900693163",
"telephone_number": "973-462-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 N VICTORY BLVD STE 101",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021848",
"telephone_number": "323-773-2200"
}
],
"practiceLocations": [
{
"address_1": "6320 Commodore Sloat Dr",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900485453",
"country_code": "US",
"telephone_number": "323-936-9997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAIS",
"first_name": "FERNANDA",
"middle_name": "SCANDELARI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-18",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "061038",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "106940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.