Active NPI
Shahnaz Ashourian, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1811170590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56574
- Practice address
- 1107 S Alvarado St
Suite #102
Los Angeles, CA 90006-4184 - Phone
- (213) 380-9999
- NPI assigned
- Dec 17, 2007
- Last updated
- May 4, 2016
- 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 | 56574 | CA | Primary |
Addresses
Primary practice location
1107 S Alvarado St
Suite #102
Los Angeles, CA 90006-4184
Mailing address
451 18TH St
Santa Monica, CA 90402-2429
Phone (310) 663-3573
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
| License | State | Type | Specialty |
|---|---|---|---|
| 56574 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L and P Medical Group Inc | Past | Accepting new patients |
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": "1197849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1811170590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 18TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904022429",
"telephone_number": "310-663-3573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 S ALVARADO ST",
"address_2": "SUITE #102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900064184",
"telephone_number": "213-380-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHOURIAN",
"first_name": "SHAHNAZ",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-17",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56574",
"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 May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.