Active NPI
Sherli Mobasser Mikail, D.D.S.
- General Practice Dentistry
- Santa Monica, CA
National Provider Identifier
1780717819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 53086
- Practice address
- 2221 Lincoln Blvd # 200
Santa Monica, CA 90405-1320 - Phone
- (310) 399-1100
- Fax
- (310) 664-8901
- NPI assigned
- Mar 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 53086 | CA | Primary |
Addresses
Primary practice location
2221 Lincoln Blvd # 200
Santa Monica, CA 90405-1320
Mailing address
8690 National Blvd
Culver City, CA 90232-2419
Phone (310) 990-5950
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 |
|---|---|---|---|
| 53086 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1780717819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8690 NATIONAL BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902322419",
"telephone_number": "310-990-5950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 LINCOLN BLVD # 200",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904051320",
"telephone_number": "310-399-1100",
"fax_number": "310-664-8901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKAIL",
"first_name": "SHERLI",
"middle_name": "MOBASSER",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "53086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.