Individual provider Active NPI

Fatima Ghani, DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1881321081
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
107736 Issued in CA
Practice address
10833 Wilshire Blvd
Los Angeles, CA 90024-4380
Phone
(312) 810-7855
NPI assigned
Aug 7, 2022
Last updated
Aug 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 107736 CA Primary

Addresses

Primary practice location

10833 Wilshire Blvd
Los Angeles, CA 90024-4380

Mailing address

10833 Wilshire Blvd Apt 330
Los Angeles, CA 90024-4395
Phone (312) 810-7855

Other practice location 1

10833 Wilshire Blvd Apt 330
Los Angeles, CA 90024-4395
Phone (312) 810-7855

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
I20221109002456 CA Order and Referring Only - DentistPractitioner - Dentist 3971970658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107736CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1881321081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 WILSHIRE BLVD APT 330",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244395",
            "telephone_number": "312-810-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244380",
            "telephone_number": "312-810-7855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10833 Wilshire Blvd Apt 330",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900244395",
            "country_code": "US",
            "telephone_number": "312-810-7855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHANI",
        "first_name": "FATIMA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.