Active NPI
Azita Zavari, RDH
- Dental Hygienist
- Los Angeles, CA
National Provider Identifier
1811370349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 25799
- Practice address
- 11611 San Vicente Blvd
Suite L-1
Los Angeles, CA 90049 - Phone
- (503) 819-0510
- NPI assigned
- Jul 1, 2015
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 25799 | Primary |
Addresses
Primary practice location
11611 San Vicente Blvd
Suite L-1
Los Angeles, CA 90049
Mailing address
PO Box 572022
Tarzana, CA 91357-2022
Phone (503) 819-0510
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1811370349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 572022",
"city": "TARZANA",
"state": "CA",
"postal_code": "913572022",
"telephone_number": "503-819-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11611 SAN VICENTE BLVD",
"address_2": "SUITE L-1",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90049",
"telephone_number": "503-819-0510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVARI",
"first_name": "AZITA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": null,
"license": "25799",
"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 Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.