Active NPI
Bonny Hakimirad, D.D.S.
- Dentist
- Los Angeles, CA
National Provider Identifier
1922359058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61873
- Practice address
- 10636 Wilshire Blvd
Apt 204
Los Angeles, CA 90024-4592 - Phone
- (310) 525-0444
- NPI assigned
- Sep 28, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 61873 | CA | Primary |
Addresses
Primary practice location
10636 Wilshire Blvd
Apt 204
Los Angeles, CA 90024-4592
Mailing address
10636 Wilshire Blvd
Apt 204
Los Angeles, CA 90024-4592
Phone (310) 525-0444
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 |
|---|---|---|---|
| 61873 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1922359058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10636 WILSHIRE BLVD",
"address_2": "APT 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244592",
"telephone_number": "310-525-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10636 WILSHIRE BLVD",
"address_2": "APT 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244592",
"telephone_number": "310-525-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKIMIRAD",
"first_name": "BONNY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-28",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "61873",
"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 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.