Individual provider Active NPI

Jonathan Akhavan, DMD

  • Periodontics
  • Beverly Hills, CA
National Provider Identifier
1871950378
Registry record updated Nov 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DDS101818 Issued in CA
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

Updated by the provider on Nov 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DDS101818CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Ahuja DDS PC CurrentSince Jul 21, 2024 Accepting new patients
Ramin Hatami DDS a Professional Corp PastSince Jan 1, 2022 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.

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.

Verify at the official NPI Registry.