Active NPI
Bahram Shahangian, D.D.S.
- Dentist
- North Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 44083
- Practice address
- 4821 Lankershim Blvd
Suite B
North Hollywood, CA 91601-4538 - Phone
- (818) 508-7300
- Fax
- (818) 766-9755
- NPI assigned
- May 4, 2007
- Last updated
- Dec 3, 2024
- Sex
- Male
- 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 | 44083 | CA | Primary |
Addresses
Primary practice location
4821 Lankershim Blvd
Suite B
North Hollywood, CA 91601-4538
Mailing address
4821 Lankershim Blvd
Suite B
North Hollywood, CA 91601-4538
Phone (818) 508-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Community Health Center | Current | Accepting new patients | |
| Blessing Community Health Center | Current | Accepting new patients | |
| Shahangian Dental Corp. | Past | Accepting new patients |
Locations
3972 N Waterman Ave
Ste 104
San Bernardino, CA 92404
Phone (909) 433-9700
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Blessing Community Health Center | Federally qualified health center | Corporate Officer (50%) W-2 Managing Employee |
Oct 1, 2021 Oct 1, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Public Health & General Preventive Medicine Physician
- San Bernardino, CA
- NPI 1558981381
Corporate Officer, W-2 Managing Employee
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health & General Preventive Medicine Physician
- San Bernardino, CA
- NPI 1558981381
-
- Case Manager/Care Coordinator
- San Bernardino, CA
- NPI 1689523763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1952513608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4821 LANKERSHIM BLVD",
"address_2": "SUITE B",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916014538",
"telephone_number": "818-508-7300",
"fax_number": "818-766-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4821 LANKERSHIM BLVD",
"address_2": "SUITE B",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916014538",
"telephone_number": "818-508-7300",
"fax_number": "818-766-9755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHANGIAN",
"first_name": "BAHRAM",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "44083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.