NPIMap

Organization Active NPI

Neda Naim DDS Apc

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1790943215
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44038 Issued in CA
Legal business name
NEDA NAIM DDS APC
Practice address
11645 Wilshire Blvd
Suite 804
Los Angeles, CA 90025-1708
Phone
(310) 479-7852
Fax
(310) 235-1763
NPI assigned
May 30, 2008
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Neda Naim, DDSNPI 1851506125
Title
Dentist
Phone
(310) 479-7852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44038 CA Primary

Addresses

Primary practice location

11645 Wilshire Blvd
Suite 804
Los Angeles, CA 90025-1708

Mailing address

11645 Wilshire Blvd
Suite 804
Los Angeles, CA 90025-1708
Phone (310) 479-7852

Other identifiers 1

IdentifierTypeStateIssuer
G92651-01OtherCADENTICAL

National Provider Directory

National Provider Directory

Locations

11645 Wilshire Blvd
Ste 804
Los Angeles, CA 90025
Phone (310) 479-7852

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1790943215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "SUITE 804",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-479-7852",
            "fax_number": "310-235-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "SUITE 804",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-479-7852",
            "fax_number": "310-235-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDA NAIM DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "NAIM",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-479-7852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G92651-01",
            "state": "CA"
        }
    ],
    "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 May 30, 2008; 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.