Dr. Tania Shanazari, D.D.S.
Dentist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1285791574
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1285791574
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tania Shanazari
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 54208 | CA | Yes |
Practice location
2028 W Pico BlvdLos Angeles, CA 90006-5011
Phone 213-380-5506 · Fax 213-380-0754
Mailing address
3726 Pontiac StLa Crescenta, CA 91214-1734
Phone 818-542-9517
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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