Behrad Vahdati Nia, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DDS105234 Issued in CA

Practice address

514 E Washington Blvd
Los Angeles, CA 90015-3723

Phone

(213) 749-3934

NPI assigned

Aug 27, 2020

Last updated

Aug 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro Medico and Dental Inc

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1568256329
  NPD

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1790398964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX #249 10586 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90064",
            "telephone_number": "408-857-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 E WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153723",
            "telephone_number": "213-749-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHDATI NIA",
        "first_name": "BEHRAD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS105234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha G Vaghasia, MD
• Elaheh Vahabnezhad, M.D.
• Vahag Mehrabian Dental Corporation (Comfort Dental Group)
• Umme Salma Vahanvaty, RD
• Saloomeh Vahdat, M.D.
• Venus Vahdati
• Maedeh Vahed, PSYD
• Vahedi Dental , Inc. (Soro Dental Group)
• David Vahedi, M.D.
• Hossein G Vahedi, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.