Active NPI
Ramin Mahallati, DDS
- Prosthodontics
- Beverly Hills, CA
National Provider Identifier
1962775437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 38203
- Practice address
- 9001 Wilshire Blvd
Suite 205
Beverly Hills, CA 90211-1838 - Phone
- (310) 285-0530
- Fax
- (310) 285-0534
- NPI assigned
- Feb 14, 2012
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 38203 | CA | Primary |
Addresses
Primary practice location
9001 Wilshire Blvd
Suite 205
Beverly Hills, CA 90211-1838
Mailing address
9001 Wilshire Blvd
Suite 205
Beverly Hills, CA 90211-1838
Phone (310) 285-0530
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38203 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1962775437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 WILSHIRE BLVD",
"address_2": "SUITE 205",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111838",
"telephone_number": "310-285-0530",
"fax_number": "310-285-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 WILSHIRE BLVD",
"address_2": "SUITE 205",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111838",
"telephone_number": "310-285-0530",
"fax_number": "310-285-0534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHALLATI",
"first_name": "RAMIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-14",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "38203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.