Mehran Daoudian, M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

52369 Issued in CA

Practice address

470 N Los Robles Ave
Pasadena, CA 91101-1302

Phone

(626) 564-4330

Fax

(626) 568-2925

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: mdaoudian@direct.westerndental.com

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.

• Western Dental Services, Inc.

  • General Practice Dentistry
  • Pasadena, CA
  • NPI 1316009921
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1891845236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 N LOS ROBLES AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011302",
            "telephone_number": "626-564-4330",
            "fax_number": "626-568-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N LOS ROBLES AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011302",
            "telephone_number": "626-564-4330",
            "fax_number": "626-568-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAOUDIAN",
        "first_name": "MEHRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52369",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleen Danon, GC
• Daryl Vinh Tang Dao
• Don Dao
• Nhuchi Dao, D.O.
• Tala Daoudi
• Mandy Darafeev
• Ara Gregory Barkev Darakjian, M.D.
• Azure S Darby, MSW
• Louis Darby Jr.
• Marco Antonio Dardon Jr., D.C.

• Dentist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.

Verify at the official NPI Registry.