NPIMap

Organization Active NPI

Farid Pakravan, D.D.S., II, Inc.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1902020456
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39862 Issued in CA
Legal business name
FARID PAKRAVAN, D.D.S., II, INC.
Practice address
5807 N Figueroa St
Los Angeles, CA 90042-4227
Phone
(323) 982-0999
Fax
(323) 982-0333
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Farid Pakravan
Title
Owner
Phone
(323) 982-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39862 CA Primary

Addresses

Primary practice location

5807 N Figueroa St
Los Angeles, CA 90042-4227

Mailing address

5807 N Figueroa St
Los Angeles, CA 90042-4227
Phone (323) 982-0999

Other names 1

  • DENTAL CENTER OF HIGHLAND PARK Doing business as

National Provider Directory

National Provider Directory

Locations

5807 N Figueroa St
Los Angeles, CA 90042
Phone (323) 982-0999

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902020456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424227",
            "telephone_number": "323-982-0999",
            "fax_number": "323-982-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424227",
            "telephone_number": "323-982-0999",
            "fax_number": "323-982-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARID PAKRAVAN, D.D.S., II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAKRAVAN",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-982-0999"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTAL CENTER OF HIGHLAND PARK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.