Active NPI
Sylva T Bezian, DDS
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1891817482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 027960
- Practice address
- 321 N Larchmont Blvd
Suite #517
Los Angeles, CA 90004-3025 - Phone
- (323) 957-5100
- NPI assigned
- Apr 4, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 027960 | CA | Primary |
Addresses
Primary practice location
321 N Larchmont Blvd
Suite #517
Los Angeles, CA 90004-3025
Mailing address
321 N Larchmont Blvd
Suite #517
Los Angeles, CA 90004-3025
Phone (323) 957-5100
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 |
|---|---|---|---|---|
| I20150813009796 | CA | Order and Referring Only - Oral Surgery | 8426363961 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027960 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1891817482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N LARCHMONT BLVD",
"address_2": "SUITE #517",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043025",
"telephone_number": "323-957-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N LARCHMONT BLVD",
"address_2": "SUITE #517",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043025",
"telephone_number": "323-957-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEZIAN",
"first_name": "SYLVA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "027960",
"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 Sep 6, 2007; 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.