NPIMap

Organization Active NPI

Michel Elyson DDS & Ramin Assili DDS,a Professional Corporation

  • Dentist
  • Northridge, CA
National Provider Identifier
1922513225
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40605 Issued in CA
Legal business name
MICHEL ELYSON DDS & RAMIN ASSILI DDS,A PROFESSIONAL CORPORATION
Practice address
9535 Reseda Blvd Ste 203
Northridge, CA 91324-6027
Phone
(818) 349-6379
Fax
(818) 349-7539
NPI assigned
Dec 8, 2017
Organization subpart
Yes
Parent organization
MICHEL H. ELYSON DDS & RAMIN ASSILI DDS APCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Michel H ElysonNPI 1235268178
Title
President
Phone
(323) 263-2125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 40605 CA Primary

Addresses

Primary practice location

9535 Reseda Blvd Ste 203
Northridge, CA 91324-6027

Mailing address

9535 Reseda Blvd Ste 203
Northridge, CA 91324-6027
Phone (818) 349-6373

Other identifiers 2

IdentifierTypeStateIssuer
1235272287MedicaidCA
1427187996MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Michel Elyson DDS Ramin Assili Ddsa Professional Corporation2 organizations share this tax ID, including this one
Part of
Michel Elyson DDS Ramin Assili Ddsa Professional Corporation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9535 Reseda Blvd
Ste 203
Northridge, CA 91324
Phone (818) 349-6373

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1922513225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 RESEDA BLVD STE 203",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246027",
            "telephone_number": "818-349-6373",
            "fax_number": "818-349-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 RESEDA BLVD STE 203",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246027",
            "telephone_number": "818-349-6379",
            "fax_number": "818-349-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHEL ELYSON DDS & RAMIN ASSILI DDS,A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHEL H. ELYSON DDS & RAMIN ASSILI DDS APC",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "ELYSON",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-263-2125"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235272287",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427187996",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.