Pedram Sooferi, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

57377 Issued in CA

Practice address

771 E 9TH St
Los Angeles, CA 90021-1839

Phone

(310) 247-9346

NPI assigned

Sep 22, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Pedram Sooferi DDS, Inc

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1427690825
  NPD Authorized official
• Sooferi & Sooferi a Professional Corporation

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1821532367
  NPD Authorized official

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1821248246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 E 9TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211839",
            "telephone_number": "310-247-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 E 9TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211839",
            "telephone_number": "310-247-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOFERI",
        "first_name": "PEDRAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Yu-Ting Soo, N.P
• Radhika Sood, D.O.
• Jesse Ann Soodalter, MD
• Behrooz David Soofer, DPM
• Sooferi & Sooferi a Professional Corporation
• Michelle Marie Soohoo
• Nelson Soohoo, MD
• Shannon Marie Sookhoo, PT, DPT
• Jaruwan Sookpiti, MT
• Sookyoung Chung Marriage and Family Therapy, a Professional Corporation

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.