NPIMap

Organization Active NPI

Ramin Shabtaie, DDS, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
National Provider Identifier
1811181977
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
43561 Issued in CA
Legal business name
RAMIN SHABTAIE, DDS, INC
Practice address
10921 Wilshire Blvd
Suite 608
Los Angeles, CA 90024-3906
Phone
(310) 208-3471
Fax
(310) 208-2553
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Dr. Ramin Shabtaie, DDSNPI 1841355633
Title
Owner/President
Phone
(310) 208-3471

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 43561 CA Primary

Addresses

Primary practice location

10921 Wilshire Blvd
Suite 608
Los Angeles, CA 90024-3906

Mailing address

10921 Wilshire Blvd
Suite 608
Los Angeles, CA 90024-3906
Phone (310) 208-3471

National Provider Directory

National Provider Directory

Locations

10921 Wilshire Blvd
Ste 608
Los Angeles, CA 90024
Phone (310) 208-3471

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1811181977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD",
            "address_2": "SUITE 608",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243906",
            "telephone_number": "310-208-3471",
            "fax_number": "310-208-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD",
            "address_2": "SUITE 608",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243906",
            "telephone_number": "310-208-3471",
            "fax_number": "310-208-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMIN SHABTAIE, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "SHABTAIE",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-208-3471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "43561",
            "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 Aug 31, 2007; 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.