Active NPI
Rambod Robby Alirezaei, DDS
- Endodontics
- Los Angeles, CA
National Provider Identifier
1881805844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 48872
- Practice address
- 11633 San Vicente Blvd
Suite #308
Los Angeles, CA 90049-6511 - Phone
- (310) 207-3707
- Fax
- (310) 207-3703
- NPI assigned
- May 24, 2007
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 48872 | CA | Primary |
Addresses
Primary practice location
11633 San Vicente Blvd
Suite #308
Los Angeles, CA 90049-6511
Mailing address
11633 San Vicente Blvd
Suite #308
Los Angeles, CA 90049-6511
Phone (310) 207-3707
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rambod R. Alirezaei | Endodontics | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1881805844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11633 SAN VICENTE BLVD",
"address_2": "SUITE #308",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496511",
"telephone_number": "310-207-3707",
"fax_number": "310-207-3703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11633 SAN VICENTE BLVD",
"address_2": "SUITE #308",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496511",
"telephone_number": "310-207-3707",
"fax_number": "310-207-3703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALIREZAEI",
"first_name": "RAMBOD",
"middle_name": "ROBBY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "48872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
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- Zari Alipour, PSYCHOLOGIST
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- Alireza Tabesh MD Inc
- Alisha Manning, Licensed Clinical Social Worker Corp
- Alisia Babalola, LMFT, Marriage and Family Therapy, Corp (Nahum Therapy Services)
- Aliso Medical Clinic, Inc
- Alison C. Schur, PSYD, a Psychological Corp.
- Alissa Young, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.