Active NPI
Katayoun Tajik, DDS MPH
- Pediatric Dentistry
- Los Angeles, CA
National Provider Identifier
1922360866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DDS100108
- Practice address
- 1657 Veteran Ave Apt 203
Los Angeles, CA 90024-5558 - Phone
- (310) 435-3453
- NPI assigned
- Jun 15, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DDS100108 | CA | Primary |
| Pediatric Dentistry | 1223P0221X | DN1856686 | MA |
Addresses
Primary practice location
1657 Veteran Ave Apt 203
Los Angeles, CA 90024-5558
Mailing address
Katayoun Tajik DDS Inc
6112 Via Subia
RPV, CA 90275
Phone (310) 435-3453
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 |
|---|---|---|---|
| DDS100108 | CA | MD | Pediatric Dentist |
| DN1856686 | MA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1922360866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KATAYOUN TAJIK DDS INC",
"address_2": "6112 VIA SUBIA",
"city": "RPV",
"state": "CA",
"postal_code": "90275",
"telephone_number": "310-435-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1657 VETERAN AVE APT 203",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245558",
"telephone_number": "310-435-3453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAJIK",
"first_name": "KATAYOUN",
"name_prefix": "Dr.",
"credential": "DDS MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-15",
"last_updated": "2025-01-14",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "DDS100108",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "DN1856686",
"primary": false
}
],
"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 Jan 14, 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.