Active NPI
Setareh Amirkalali
- Dentist
- Los Angeles, CA
National Provider Identifier
1912209255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42798
- Practice address
- 10801 Venice Blvd
Los Angeles, CA 90034-7103 - Phone
- (310) 836-3476
- NPI assigned
- Nov 18, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 42798 | CA | Primary |
Addresses
Primary practice location
10801 Venice Blvd
Los Angeles, CA 90034-7103
Mailing address
11661 San Vicente Blvd Ste 812
Los Angeles, CA 90049-5116
Phone (310) 490-2627
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42798 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1912209255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11661 SAN VICENTE BLVD STE 812",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495116",
"telephone_number": "310-490-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 VENICE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900347103",
"telephone_number": "310-836-3476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIRKALALI",
"first_name": "SETAREH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-18",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "42798",
"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 Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.