Active NPI
Mahnaz Deborah Gozini, DDS
- Dentist
- Encino, CA
National Provider Identifier
1851400816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38016
- Practice address
- 18032 Ventura Blvd
#2
Encino, CA 91316 - Phone
- (818) 881-1330
- Fax
- (818) 881-3481
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 38016 | CA | Primary |
Addresses
Primary practice location
18032 Ventura Blvd
#2
Encino, CA 91316
Mailing address
18032 Ventura Blvd
#2
Encino, CA 91316
Phone (818) 881-1330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B3801601 | Other | CA | MEDI CAL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160322000341 | CA | Order and Referring Only - Dentist | 1557668423 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahnaz Gozini DDS Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Encino, CA
- NPI 1336345339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1851400816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18032 VENTURA BLVD",
"address_2": "#2",
"city": "ENCINO",
"state": "CA",
"postal_code": "91316",
"telephone_number": "818-881-1330",
"fax_number": "818-881-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18032 VENTURA BLVD",
"address_2": "#2",
"city": "ENCINO",
"state": "CA",
"postal_code": "91316",
"telephone_number": "818-881-1330",
"fax_number": "818-881-3481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOZINI",
"first_name": "MAHNAZ",
"middle_name": "DEBORAH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "38016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL",
"identifier": "B3801601",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.