Organization Active NPI

Makhmalbaf & Mirmarashi Dental Partnership

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1861932998
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59489 Issued in CA
Legal business name
MAKHMALBAF & MIRMARASHI DENTAL PARTNERSHIP
Practice address
10921 Wilshire Blvd Ste 501
Los Angeles, CA 90024-4001
Phone
(310) 443-3030
Fax
(310) 443-5660
NPI assigned
Mar 8, 2017
Organization subpart
Yes
Parent organization
MIRMARSHI & MAKMALBAF DENTAL PARTNERSHIPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Dr. Ali O. Makhmalbaf, DDS
Title
Dentist
Phone
(310) 443-3030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 59489 CA Primary
Clinic/Center 261Q00000X 59489 CA

Addresses

Primary practice location

10921 Wilshire Blvd Ste 501
Los Angeles, CA 90024-4001

Mailing address

10921 Wilshire Blvd Ste 501
Los Angeles, CA 90024-4001
Phone (310) 443-3030

Other identifiers 1

IdentifierTypeStateIssuer
59489MedicaidCA

Other names 1

  • Westwood Dental Arts Center Doing business as

National Provider Directory

National Provider Directory
Part of
Makhmalbaf Mirmarashi Dental Partnership

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": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1861932998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD STE 501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244001",
            "telephone_number": "310-443-3030",
            "fax_number": "310-443-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD STE 501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244001",
            "telephone_number": "310-443-3030",
            "fax_number": "310-443-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKHMALBAF & MIRMARASHI DENTAL PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIRMARSHI & MAKMALBAF DENTAL PARTNERSHIP",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "MAKHMALBAF",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-443-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59489",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "59489",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59489",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westwood Dental Arts Center",
            "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 Mar 9, 2017; 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.