Active NPI
Jonathan Akhavan, DMD
- Periodontics
- Beverly Hills, CA
National Provider Identifier
1871950378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DDS101818
- Practice address
- 465 N Roxbury Dr Ste 912
Beverly Hills, CA 90210-4212 - Phone
- (310) 579-2311
- NPI assigned
- Jan 28, 2016
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DDS101818 | CA | Primary |
Addresses
Primary practice location
465 N Roxbury Dr Ste 912
Beverly Hills, CA 90210-4212
Mailing address
PO Box 1356
Beverly Hills, CA 90213-1356
Other practice location 1
455 S C St
Oxnard, CA 93030-5917
Phone (805) 200-5324
Other practice location 2
23727 Roscoe Blvd
West Hills, CA 91304-3041
Phone (818) 888-8824
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS101818 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashley Ahuja DDS PC | Current | Accepting new patients | |
| Ramin Hatami DDS a Professional Corp | Past | Accepting new patients |
Locations
23727 Roscoe Blvd
West Hills, CA 91304
Phone (818) 888-8824
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- West Hills, CA
- NPI 1447098256
-
- Dentist
- West Hills, CA
- NPI 1124411574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667606400000",
"number": "1871950378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1356",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902131356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 N ROXBURY DR STE 912",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104212",
"telephone_number": "310-579-2311"
}
],
"practiceLocations": [
{
"address_1": "455 S C St",
"address_purpose": "LOCATION",
"city": "Oxnard",
"state": "CA",
"postal_code": "930305917",
"country_code": "US",
"telephone_number": "805-200-5324",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23727 Roscoe Blvd",
"address_purpose": "LOCATION",
"city": "West Hills",
"state": "CA",
"postal_code": "913043041",
"country_code": "US",
"telephone_number": "818-888-8824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AKHAVAN",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-28",
"last_updated": "2022-11-05",
"certification_date": "2022-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "DDS101818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.