Individual provider Active NPI

Afshin Golyad, DDS

  • General Practice Dentistry
  • West Los Angeles, CA
National Provider Identifier
1972540318
Registry record updated Apr 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43162 Issued in CA
Practice address
12340 Santa Monica Blvd
#241
West Los Angeles, CA 90025
Phone
(310) 820-7010
Fax
(310) 820-7060
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43162 CA Primary

Addresses

Primary practice location

12340 Santa Monica Blvd
#241
West Los Angeles, CA 90025

Mailing address

12340 Santa Monica Blvd
#241
West Los Angeles, CA 90025
Phone (310) 820-7010

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

OrganizationSpecialtyStatusNew patients
Afshin Golyad DDS Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208563200000",
    "number": "1972540318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 SANTA MONICA BLVD",
            "address_2": "#241",
            "city": "WEST LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-820-7010",
            "fax_number": "310-820-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 SANTA MONICA BLVD",
            "address_2": "#241",
            "city": "WEST LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-820-7010",
            "fax_number": "310-820-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLYAD",
        "first_name": "AFSHIN",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West 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 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.