Active NPI
Marjan Taheri, D.D.S
- General Practice Dentistry
- Sun Valley, CA
National Provider Identifier
1992059729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61755
- Practice address
- 9375 San Fernando Rd
Sun Valley, CA 91352-1418 - Phone
- (818) 394-9686
- NPI assigned
- Oct 31, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61755 | CA | Primary |
Addresses
Primary practice location
9375 San Fernando Rd
Sun Valley, CA 91352-1418
Mailing address
9375 San Fernando Rd
Sun Valley, CA 91352-1418
Phone (818) 394-9686
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160623002489 | CA | Order and Referring Only - Dentist | 2264723162 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1992059729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9375 SAN FERNANDO RD",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913521418",
"telephone_number": "818-394-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9375 SAN FERNANDO RD",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913521418",
"telephone_number": "818-394-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAHERI",
"first_name": "MARJAN",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-31",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "61755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun Valley, CA
- Sunland Adhc, Inc
- Sunland Pharmacy Incorporated
- Sunnyside Residential Assisted Living for the Elderly LLC.
- Sunrise Med Clinic Inc
- Sunrise Sunset Hospice, Inc.
- Kristina Tanglimsamarnsuk
- Myranda Barbo Teixeira, RD
- Telfair Home Health Care
- Terrace Emergency Physicians Medical Group, Inc.
- Terrace Hospice, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.