Khajadour Donabedian, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54797 Issued in CA

Practice address

2063 E Foothill Blvd
Pasadena, CA 91107-3277

Phone

(626) 449-1919

Fax

(626) 449-8775

NPI assigned

Dec 3, 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

State licenses

Practice roles

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.

• Khajadour Donabedian D.D.S.. Inc

  • Dentist
  • Pasadena, CA
  • NPI 1548580251
  NPD (past) Authorized official
• Khajadour Donabedian DDS Inc

  • Dental Clinic/Center
  • Pasadena, CA
  • NPI 1801437520
  NPD (past) Authorized official

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1841435062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063 E FOOTHILL BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073277",
            "telephone_number": "626-449-1919",
            "fax_number": "626-449-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 E FOOTHILL BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073277",
            "telephone_number": "626-449-1919",
            "fax_number": "626-449-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONABEDIAN",
        "first_name": "KHAJADOUR",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Dominion, LCSW
• Anita Dominquez
• Stephen K. Don, D.D.S.
• Maribel A Dona, BA
• Caroline Donabedian
• Donald C Ashmore Opticians Inc
• Sarah Webb Donaldson
• Dong Choe D.C.
• Dong-Gil Kang DDS Inc
• Elisa Dong

• General Practice Dentistry in Pasadena, CA
• Providers in Pasadena, 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 Dec 3, 2008; 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.