Individual provider Active NPI

Nasim Zarkesh, DDS

  • Pediatric Dentistry
  • El Segundo, CA
National Provider Identifier
1982088589
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
105832 Issued in CA
Practice address
730 S Allied Way Ste B
El Segundo, CA 90245-5500
Phone
(310) 545-1530
NPI assigned
Jul 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X LL-401-15 NV
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X S6-155 NV
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 105832 CA Primary

Addresses

Primary practice location

730 S Allied Way Ste B
El Segundo, CA 90245-5500

Mailing address

730 S Allied Way Ste B
El Segundo, CA 90245-5500
Phone (310) 545-1530

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

LicenseStateTypeSpecialty
105832CAMDMarriage & Family Therapist
LL-401-15NVMDDentist
S6-155NVMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nasim Zarkesh DDS PC Pediatric Dentistry CurrentSince Oct 1, 2022 Accepting new patients

Locations

730 S Allied Way
Ste B
El Segundo, CA 90245
Phone (310) 545-1530

1730 Manhattan Beach Blvd
#B
Manhattan Beach, CA 90266
Phone (310) 379-0006

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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1982088589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S ALLIED WAY STE B",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455500",
            "telephone_number": "310-545-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S ALLIED WAY STE B",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455500",
            "telephone_number": "310-545-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARKESH",
        "first_name": "NASIM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "LL-401-15",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-155",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "105832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.