Rouzita Rashtian DDS a Professional Corporation

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ROUZITA RASHTIAN DDS A PROFESSIONAL CORPORATION

Doing business as

SERENITY DENTAL CENTER

Practice address

12301 Wilshire Blvd Ste 204
Los Angeles, CA 90025-1241

Phone

(310) 622-1617

NPI assigned

Oct 12, 2023

Organization subpart

No

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

Authorized official

Name

Rouzita Rashtian, DDSNPI 1407964562

Title

Doctor/Authorized Official

Phone

(310) 622-1617

Specialties & licenses 2

Addresses

Other names 1

• SERENITY DENTAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Rouzita Rashtian, DDS

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1407964562
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1861273161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 WILSHIRE BLVD STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251241",
            "telephone_number": "310-622-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 WILSHIRE BLVD STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251241",
            "telephone_number": "310-622-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUZITA RASHTIAN DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "RASHTIAN",
        "authorized_official_first_name": "ROUZITA",
        "authorized_official_title_or_position": "DOCTOR/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "310-622-1617",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERENITY DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Celani Rousso, AU.D.
• Evanthia Roussos Torres, M.D.
• Alyson Roux, MS, CNS
• Michael Roux
• Javan Rouzan
• Dioni Alicia Rovello Freking, ACNP-BC
• Alfred N Roven, MD
• Joann Roveno
• Rover Medical Group West PC
• Allie Irene Roverud

• Oral and Maxillofacial Surgery (Dentist) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.