Active NPI
Carla Perkins, RDA
- Dental Assistant
- Lynwood, CA
National Provider Identifier
1922542265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 46339
- Practice address
- 9910 Long Beach Blvd
Suite a
Lynwood, CA 90262-1561 - Phone
- (323) 563-8900
- NPI assigned
- Dec 6, 2016
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 46339 | CA | Primary |
Addresses
Primary practice location
9910 Long Beach Blvd
Suite a
Lynwood, CA 90262-1561
Mailing address
1266 West Jefferson Blvd.
Apt 102
Los Angeles, CA 90007-2954
Phone (323) 798-2542
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parid Pakravan Dental Corporation | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Lynwood, CA
- NPI 1164646618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1922542265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1266 WEST JEFFERSON BLVD.",
"address_2": "APT 102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900072954",
"telephone_number": "323-798-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9910 LONG BEACH BLVD",
"address_2": "SUITE A",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902621561",
"telephone_number": "323-563-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "CARLA",
"credential": "RDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-06",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "46339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.