Organization Active NPI

Mitra Mashreghi DMD Dental Corporation

Doing business as OnSite Dental (DBA)

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1932455631
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55376 Issued in CA
Legal business name
MITRA MASHREGHI DMD DENTAL CORPORATION
Doing business as
OnSite Dental (DBA)
Practice address
3575 Cahuenga Blvd W Ste 115
Los Angeles, CA 90068-1340
Phone
(818) 980-1200
Fax
(818) 980-1233
NPI assigned
Jul 31, 2012
Last updated
Apr 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Ms. Mitra Mashreghi, DMDNPI 1073729232
Title
Dentist / President
Phone
(818) 980-1200

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
Dentist 122300000X 55376 CA Primary

Addresses

Primary practice location

3575 Cahuenga Blvd W Ste 115
Los Angeles, CA 90068-1340

Mailing address

3575 Cahuenga Blvd W Ste 115
Los Angeles, CA 90068-1340
Phone (818) 980-1200

Other names 1

  • OnSite Dental (DBA) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240207000429 CA Part B Supplier - Clinic/Group Practice 8729421730 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

3575 Cahuenga Blvd W
Ste 115
Los Angeles, CA 90068
Phone (818) 980-1200

3575 Cahuenga Blvd W
Ste 300
Los Angeles, CA 90068
Phone (323) 876-9133

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1932455631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 CAHUENGA BLVD W STE 115",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681340",
            "telephone_number": "818-980-1200",
            "fax_number": "818-980-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 CAHUENGA BLVD W STE 115",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681340",
            "telephone_number": "818-980-1200",
            "fax_number": "818-980-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITRA MASHREGHI DMD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "MASHREGHI",
        "authorized_official_first_name": "MITRA",
        "authorized_official_title_or_position": "DENTIST / PRESIDENT",
        "authorized_official_telephone_number": "818-980-1200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OnSite Dental (DBA)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OnSite Dental (DBA)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.