Organization Active NPI

Katayoun Omrani, DDS, a Professional Dental Corporation

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1790176717
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45399 Issued in CA
Legal business name
KATAYOUN OMRANI, DDS, A PROFESSIONAL DENTAL CORPORATION
Practice address
444 S San Vicente Blvd
Ste1101
Los Angeles, CA 90048-4165
Phone
(310) 423-9600
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Dr. Katayoun Omrani, DDS
Title
D.D.S/President
Phone
(310) 666-8189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 45399 CA Primary

Addresses

Primary practice location

444 S San Vicente Blvd
Ste1101
Los Angeles, CA 90048-4165

Mailing address

PO Box 60790
Pasadena, CA 91116-6790
Phone (626) 795-6596

National Provider Directory

National Provider Directory
Tax ID family
Katayoun Omrani DDS a Professional Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1790176717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60790",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911166790",
            "telephone_number": "626-795-6596",
            "fax_number": "626-795-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD",
            "address_2": "STE1101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484165",
            "telephone_number": "310-423-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATAYOUN OMRANI, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "OMRANI",
        "authorized_official_first_name": "KATAYOUN",
        "authorized_official_title_or_position": "D.D.S/PRESIDENT",
        "authorized_official_telephone_number": "310-666-8189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45399",
            "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 Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.