Individual provider Active NPI

Ninella Bogosian

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1801565429
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS106002 Issued in CA
Practice address
10700 Santa Monica Blvd Ste 305
Los Angeles, CA 90025-6587
Phone
(818) 858-4406
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS106002 CA Primary
General Practice Dentistry 1223G0001X 106002 CA

Addresses

Primary practice location

10700 Santa Monica Blvd Ste 305
Los Angeles, CA 90025-6587

Mailing address

10700 Santa Monica Blvd Ste 305
Los Angeles, CA 90025-6587
Phone (818) 858-4406

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

LicenseStateTypeSpecialty
106002CAMDGeneral Practice Dentistry
DDS106002CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bogosian DMD, PC General Practice Current Accepting new patients

Locations

10700 Santa Monica Blvd
Ste 305
Los Angeles, CA 90025
Phone (818) 858-4406

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1801565429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SANTA MONICA BLVD STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256587",
            "telephone_number": "818-858-4406",
            "fax_number": "310-553-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SANTA MONICA BLVD STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256587",
            "telephone_number": "818-858-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGOSIAN",
        "first_name": "NINELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS106002",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106002",
            "primary": false
        }
    ],
    "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 Jun 3, 2026; 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.