Payam Bostani, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

45356 Issued in CA

Practice address

1601 W Burbank Blvd
Burbank, CA 91506-1310

Phone

(818) 918-5533

Fax

(878) 973-7147

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1861562050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061310",
            "telephone_number": "818-973-7100",
            "fax_number": "818-973-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061310",
            "telephone_number": "818-918-5533",
            "fax_number": "878-973-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTANI",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "D45356",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Boris, MFT
• Quynh Huong Borkenhagen, PHARM.D.
• Rebecca Borrayo
• Nicole Gabrielle Borromeo
• Jenna Borzak
• Boyajian & Bardakjian Dental Corp.
• Boyd W Flinders II, M,D. , Inc
• Sarah Jane Marian Boyle, M.D.
• Hannah Renee Boynton
• Caitlin Brady, NP

• Dentist in Burbank, CA
• Providers in Burbank, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.

Verify at the official NPI Registry.