Phaedra Deukmedjian, DDS MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

51538 Issued in CA

Practice address

7345 Medical Center Dr
Suite 330
West Hills, CA 91307-1963

Phone

(818) 346-6282

Fax

(818) 346-5174

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Fedra Abrahamian Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Judith S. Pabst, DDS, Inc. and Phaedra Deukmedjian, DDS, Ms, Inc.

  • Pediatric Dentistry
  • West Hills, CA
  • NPI 1598013427
  NPD Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821214784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR",
            "address_2": "SUITE 330",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071963",
            "telephone_number": "818-346-6282",
            "fax_number": "818-346-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR",
            "address_2": "SUITE 330",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071963",
            "telephone_number": "818-346-6282",
            "fax_number": "818-346-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUKMEDJIAN",
        "first_name": "PHAEDRA",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "51538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEDRA",
            "last_name": "ABRAHAMIAN",
            "prefix": "DR.",
            "credential": "DDS MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karin Delnavaz, P.T.A.
• Sonia M Deluna-Melgoza
• Matthew Isaac Derakhshesh, MD
• Hrak Derderian, M.D.
• Desireelevyim MD
• Lauren Deyling
• Jaskirat Singh Dhanoa, MD
• Bernard Michael Diamond, MD
• Eric Laverne Dick, MED, ATC
• Paul Diehl, M.D.

• Pediatric Dentistry in West Hills, CA
• Providers in West Hills, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.