Individual provider Active NPI

Babak Forooghi, DDS

  • Dentist
  • Encino, CA
National Provider Identifier
1841607652
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63625 Issued in CA
Practice address
15720 Ventura Blvd. Suite 311
Encino, CA 90272
Phone
(310) 666-7825
NPI assigned
Jul 14, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63625 CA Primary

Addresses

Primary practice location

15720 Ventura Blvd. Suite 311
Encino, CA 90272

Mailing address

15720 Ventura Blvd. Suite 311
Encino, CA 90272
Phone (872) 222-8722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191218001724 CA Practitioner - Oral SurgeryPractitioner - Dentist 1658705009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1841607652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD. SUITE 311",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "90272",
            "telephone_number": "872-222-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD. SUITE 311",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "90272",
            "telephone_number": "310-666-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROOGHI",
        "first_name": "BABAK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.