NPIMap

Organization Active NPI

Natalie Khadavi, DDS, Inc

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1811211022
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57048 Issued in CA
Legal business name
NATALIE KHADAVI, DDS, INC
Practice address
12331 1/4 W Washington Blvd
Los Angeles, CA 90066-5509
Phone
(310) 482-3971
NPI assigned
Mar 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Dr. Natalie Deborah Khadavi, D.D.S.
Title
Owner Dentist
Phone
(818) 427-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 57048 CA Primary

Addresses

Primary practice location

12331 1/4 W Washington Blvd
Los Angeles, CA 90066-5509

Mailing address

12331 1/4 W Washington Blvd
Los Angeles, CA 90066-5509
Phone (310) 482-3971

National Provider Directory

National Provider Directory

Locations

12331 W Washington Blvd
#14
Los Angeles, CA 90066
Phone (310) 397-6015

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1811211022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12331 1/4 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665509",
            "telephone_number": "310-482-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12331 1/4 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665509",
            "telephone_number": "310-482-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIE KHADAVI, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "KHADAVI",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "818-427-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57048",
            "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 Mar 16, 2010; 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.