Active NPI
Davis Famili, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1861953036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30499
- Practice address
- 11500 W Olympic Blvd Ste 508
Los Angeles, CA 90064-1528 - Phone
- (310) 477-7744
- Fax
- (310) 477-1144
- NPI assigned
- Mar 28, 2019
- Sex
- Male
- 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 | 30499 | CA | Primary |
Addresses
Primary practice location
11500 W Olympic Blvd Ste 508
Los Angeles, CA 90064-1528
Mailing address
11500 W Olympic Blvd Ste 508
Los Angeles, CA 90064-1528
Phone (310) 477-7744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30499 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Famili DDS Magd 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
- Los Angeles, CA
- NPI 1528192317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1861953036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11500 W OLYMPIC BLVD STE 508",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641528",
"telephone_number": "310-477-7744",
"fax_number": "310-477-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 W OLYMPIC BLVD STE 508",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641528",
"telephone_number": "310-477-7744",
"fax_number": "310-477-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAMILI",
"first_name": "DAVIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-28",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "30499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.