Active NPI
Mahshid Borna
- Dentist
- Sherman Oaks, CA
National Provider Identifier
1952539637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50731
- Practice address
- 14833 Burbank Blvd
Sherman Oaks, CA 91411-3339 - Phone
- (310) 367-6065
- NPI assigned
- Jul 1, 2009
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 50731 | CA | Primary |
Addresses
Primary practice location
14833 Burbank Blvd
Sherman Oaks, CA 91411-3339
Mailing address
14950 Burbank Blvd Apt 102
Sherman Oaks, CA 91411-3680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50731 | CA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1952539637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14950 BURBANK BLVD APT 102",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914113680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14833 BURBANK BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914113339",
"telephone_number": "310-367-6065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORNA",
"first_name": "MAHSHID",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "50731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.