Active NPI
Fatima Ghani, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1881321081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107736
- Practice address
- 10833 Wilshire Blvd
Los Angeles, CA 90024-4380 - Phone
- (312) 810-7855
- NPI assigned
- Aug 7, 2022
- Last updated
- Aug 7, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221109002456 | CA | Order and Referring Only - Dentist | 3971970658 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107736 | CA | MD | Dentist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.