Individual provider Active NPI

Jasmine Aghajani, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Beverly Hills, CA
National Provider Identifier
1871966622
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
56952 Issued in CA
Practice address
216 N Palm Dr
Beverly Hills, CA 90210-4918
Phone
(310) 272-6726
NPI assigned
Nov 2, 2015
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56952 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 56952 CA Primary

Addresses

Primary practice location

216 N Palm Dr
Beverly Hills, CA 90210-4918

Mailing address

216 N Palm Dr
Beverly Hills, CA 90210-4918
Phone (310) 272-6726

Other identifiers 1

IdentifierTypeStateIssuer
952769432OtherCAVENICE FAMILY CLINIC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200615002858 CA Practitioner - Oral SurgeryPractitioner - Dentist 3375965601 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
L and P Medical Group Inc CurrentSince Jun 1, 2020 Accepting new patients

Locations

1107 S Alvarado St
Ste 102
Los Angeles, CA 90006
Phone (213) 380-9999

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1871966622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N PALM DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104918",
            "telephone_number": "310-272-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N PALM DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104918",
            "telephone_number": "310-272-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHAJANI",
        "first_name": "JASMINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56952",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "56952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENICE FAMILY CLINIC",
            "identifier": "952769432",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.