Active NPI
Cammellia Sanam Askari, DMD
- General Practice Dentistry
- Cerritos, CA
National Provider Identifier
1780947986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61422
- Practice address
- 11635 South St
Cerritos, CA 90701-6628 - Phone
- (562) 924-4401
- NPI assigned
- Jun 21, 2012
- 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 | 61422 | CA | Primary |
Addresses
Primary practice location
11635 South St
Cerritos, CA 90701-6628
Mailing address
2731 Manhattan Beach Blvd
Redondo Beach, CA 90278-1602
Other names 1
- Cammellia Sanam Shahram
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 |
|---|---|---|---|
| 61422 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1780947986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2731 MANHATTAN BEACH BLVD",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902781602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11635 SOUTH ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907016628",
"telephone_number": "562-924-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASKARI",
"first_name": "CAMMELLIA",
"middle_name": "SANAM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "61422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAMMELLIA",
"last_name": "SHAHRAM",
"middle_name": "SANAM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cerritos, CA
- Artesia Pharmacy Inc
- Kym K.N. Asahara, M.S., CCC-SLP
- Asb Mobile Phlebotomy Services
- Stacie Artellia Ashley-Williams, LCSW
- Ashleywilliams Counseling, Inc
- Aspen Skilled Healthcare, Inc
- Aspire Health Medical Partners Mt of California, PC
- Josephine Assini-Struck
- James L Augustine, D.C.
- Sharlene Augustus
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.