Active NPI
Shirin A. Rowhani, D.D.S.
- Dentist
- Hawthorne, CA
National Provider Identifier
1790728764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 43490
- Practice address
- 12820 Inglewood Ave
Hawthorne, CA 90250-5118 - Phone
- (310) 349-1980
- Fax
- (310) 349-1984
- NPI assigned
- Jun 14, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 43490 | CA | Primary |
Addresses
Primary practice location
12820 Inglewood Ave
Hawthorne, CA 90250-5118
Mailing address
L.a. Dental Care
12820 Inglewood Avenue
Hawthorne, CA 90250-5118
Phone (310) 349-1980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B43490-01 | Other | CA | MEDI-CAL ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160107002306 | CA | Order and Referring Only - Dentist | 0648572636 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43490 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790728764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "L.A. DENTAL CARE",
"address_2": "12820 INGLEWOOD AVENUE",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902505118",
"telephone_number": "310-349-1980",
"fax_number": "310-349-1984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12820 INGLEWOOD AVE",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902505118",
"telephone_number": "310-349-1980",
"fax_number": "310-349-1984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWHANI",
"first_name": "SHIRIN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "43490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL ID NUMBER",
"identifier": "B43490-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.