S Shaun Daneshgar DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

S SHAUN DANESHGAR DMD INC

Practice address

13309 Van Nuys Blvd
Pacoima, CA 91331-3006

Phone

(310) 701-0770

NPI assigned

Jun 13, 2019

Organization subpart

No

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

Authorized official

Name

Michael Daneshgar

Title

Office Manager

Phone

(310) 701-0770

Specialties & licenses 1

Addresses

Other names 1

• DENTAL COMMUNITY CLINIC Doing business as

Practitioners 1

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

• Shariar Shaun Daneshgar

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
  • NPI 1104934983
  NPD

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1831758762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13309 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13309 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313006",
            "telephone_number": "310-701-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S SHAUN DANESHGAR DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "DANESHGAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-701-0770"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTAL COMMUNITY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Susana Rufman-Levine, LMFT
• Daniel Ruiz
• Ruby Ruiz
• Sindy Ruiz
• Victoria Eileen Runyan
• Viviana Saavedra
• Bethany Sacco
• Sheila Safaei-Far
• Ashot Sahradyan
• Saint Ana Community Health Center

• General Practice Dentistry in Pacoima, CA
• Providers in Pacoima, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.