NPIMap

Organization Active NPI

Rambod R. Alirezaei

Doing business as Brentwood Endodontics

  • Endodontics
  • Los Angeles, CA
National Provider Identifier
1841455938
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
48872 Issued in CA
Legal business name
RAMBOD R. ALIREZAEI
Doing business as
Brentwood Endodontics
Practice address
11633 San Vicente Blvd Ste 308
Los Angeles, CA 90049-6514
Phone
(310) 207-3707
Fax
(310) 207-3703
NPI assigned
Jul 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Dr. Rambod Robby Alirezaei, D.D.S.NPI 1881805844
Title
Owner/Endodontist
Phone
(310) 207-3707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 48872 CA Primary

Addresses

Primary practice location

11633 San Vicente Blvd Ste 308
Los Angeles, CA 90049-6514

Mailing address

11633 San Vicente Blvd Ste 308
Los Angeles, CA 90049-6514
Phone (310) 207-3707

Other names 1

  • Brentwood Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

11633 San Vicente Blvd
Ste 308
Los Angeles, CA 90049
Phone (310) 207-3707

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1841455938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD STE 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496514",
            "telephone_number": "310-207-3707",
            "fax_number": "310-207-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD STE 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496514",
            "telephone_number": "310-207-3707",
            "fax_number": "310-207-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMBOD R. ALIREZAEI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "ALIREZAEI",
        "authorized_official_first_name": "RAMBOD",
        "authorized_official_middle_name": "ROBBY",
        "authorized_official_title_or_position": "OWNER/ENDODONTIST",
        "authorized_official_telephone_number": "310-207-3707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "48872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentwood Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 28, 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.