Individual provider Active NPI

Austin Nahouray, DDS

  • General Practice Dentistry
  • South Gate, CA
National Provider Identifier
1912896648
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
111525 Issued in CA
Practice address
8200 Long Beach Blvd Ste E
South Gate, CA 90280-2075
Phone
(323) 581-0707
NPI assigned
Jun 30, 2025
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 111525 CA Primary

Addresses

Primary practice location

8200 Long Beach Blvd Ste E
South Gate, CA 90280-2075

Mailing address

2337 Roscomare Rd Ste 2-326
Los Angeles, CA 90077-1854

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

LicenseStateTypeSpecialty
111525CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Nahouray Dental Corporation CurrentSince Jul 9, 2025 Accepting new patients

Locations

2337 Roscomare Rd
Ste 2326
Los Angeles, CA 90077

8200 Long Beach Blvd
Ste E
South Gate, CA 90280
Phone (323) 581-0707

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1912896648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 ROSCOMARE RD STE 2-326",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 LONG BEACH BLVD STE E",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802075",
            "telephone_number": "323-581-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHOURAY",
        "first_name": "AUSTIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.