Address: 12756 West Washington Blvd, Los Angeles, CA 90066

PEGAH GHASSEMI BAKHTIARI DDS INC (NPI# 1659820686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659820686
Entity Type Organization
Other Organization Name THE CULVER MARINA DENTAL GROUP (Doing Business As Name)
Practice Address 12756 West Washington Blvd
Los Angeles
CA 90066
Practice Telephone 3108226066
Mailing Address 12756 W Washington Blvd
Los Angeles
CA 90066-2309
Mailing Telephone 3108226066
Enumeration Date 2016-10-03
Last Update Date 2016-10-03
Authorized Official Telephone 8186325877
Authorized Official Credential DDS
Is Organization Subpart N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 122300000X Dentist 193400000X SINGLE SPECIALTY GROUP 64404 CA Dental Providers

Other Provider/Organization Names

Other Name Type Code
The Culver Marina Dental Group Doing Business As Name

Office Location

Street Address 12756 WEST WASHINGTON BLVD
State CA
Zip Code 90066

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1194330274 Marilyn S Zweifach Psychologist - Clinical 3606 Barry Avenue, Los Angeles, CA 90066 2020-09-15
1164992731 Erfan Nazeri Student in an Organized Health Care Education/Training Program 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 2018-11-27
1528514148 Alexandra Afanasyeva Marriage & Family Therapist 12971 W Washington Blvd, Los Angeles, CA 90066 2016-09-01
1073167458 Rosario Tabares Marriage & Family Therapist 4173 Inglewood Blvd., Los Angeles, CA 90066 2019-07-24
1396200739 Ruzziel Pio Licensed Vocational Nurse 4344 Harding Avenue, Los Angeles, CA 90066 2019-02-08
1124461736 Justine Korolyov · Justine Mumma Internal Medicine 11303 W Washington Blvd Ste 100, Los Angeles, CA 90066 2013-04-12
1972096600 Tricia Kim Ann Walters Licensed Vocational Nurse 1233 S. La Cienega Blvd, Los Angeles, CA 90066 2018-06-07
1497107098 Joselyn Valle Rehabilitation Practitioner 12099 W Washignton Ave., Suite 200, Culver City, CA 90066 2016-07-07
1669881546 Sepideh Dolatyar Dentist 3120 Sawtelle Blvd #305, Los Angeles, CA 90066 2014-08-05
1053928390 Wesley Jerome Oaties II Physical Therapist 3030 Sawtelle Blvd, Los Angeles, CA 90066 2020-09-30
Find all in zip 90066

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346835196 Julianna Ko Dentist Herman Ostrow School of Dentistry 925 W 34th St, Los Angeles, CA 90089-0001 2021-03-03
1073108023 Shahed Al Khalifah Dentist 100 Medical Plaza Suite 350, Los Angeles, CA 90095-0001 2021-03-02
1700471828 Western Dental Services, Inc. Dentist 3303 N Broadway Ste 101-103, Los Angeles, CA 90031-2803 2021-03-02
1679166144 Meri Davtyan Dentist 1815 N Serrano Ave Apt 213, Los Angeles, CA 90027-3428 2021-02-16
1710570247 Sang Hyun Jee Dentist 1100 S Hope St Apt 1311, Los Angeles, CA 90015-2192 2021-02-16
1689266876 Lizeth Yamileth Correa Dentist 825 S Hill St Apt 3204, Los Angeles, CA 90014-3299 2021-02-09
1154913697 Taylor Addison Dentist 10833 Le Conte Ave Rm 20-137, Los Angeles, CA 90095-3075 2021-02-05
1356939136 Shirin Yezdi Bahadurji Dentist 888 Hilgard Ave Apt 110, Los Angeles, CA 90024-3184 2021-01-06
1124623004 Ana Helena Rankovic Dds Inc Dentist 5417 Venice Blvd, Los Angeles, CA 90019-5163 2020-12-01
1417551706 Elyssa Schlossberg Dentist 3604 E 1st St, Los Angeles, CA 90063-2326 2020-11-26
Find all providers in LOS ANGELES


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Zip Code 90066

Providers with similar names

NPI Name Taxonomy Address Enumeration
1316547524 Ingersoll Park Marina Gp Dental Corporation Clinic/Center - Dental 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 2020-10-27
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1558875450 Latshikyan Dental Corporation · Dentists of Anaheim Hills Dental Group Dentist - General Practice 8162 E Santa Ana Canyon Rd Suite 104, Anahein, CA 92808 2017-11-30
1851784490 Bryan Watanabe Dds Ladue Dental Group, PC · Ladue Dental Group Dentist - General Practice 8859 Ladue Road, Ladue, MO 63124 2015-03-06
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1750949210 Nazarian and Iravani Dental Partnership · Panorama Dental Group Dentist - General Practice 8111 Van Nuys Blvd., 107, Panorama, CA 91402-4812 2019-05-30
1275122566 Joshua Culver Family Medicine 263 S Main St, Memphis, TN 38103-3907 2021-01-12
1023602463 Cawonda Culver Case Manager/Care Coordinator 17261 Franklin Dr, Fraser, MI 48026-3343 2021-02-25
1821392762 Tiffany L Culver Occupational Therapist 801 Catalina Cv, Luna Pier, MI 48157 2011-01-07
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.