Sara Tanavoli, DDS,MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

48684 Issued in CA

Practice address

6325 Topanga Canyon Blvd Ste 202
Woodland Hills, CA 91367-2015

Phone

(818) 703-7733

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902961949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD STE 202",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672015",
            "telephone_number": "818-703-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD STE 202",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672015",
            "telephone_number": "818-703-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAVOLI",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "48684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole S. Taira, MD
• Carol Y. Takami, MD
• Taraneh Tamaddon, MPH, RD
• Chu I. Tan, MD
• Michelle H Tan, P.T.
• Larry G Tanigawa
• Quatease Shaunta Tann
• Elizabeth Herawati Tanzil, RN
• Annyssa Tapia
• Esbeydi Tapia

• Periodontics in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.