DR. JOSHUA BEHNAM SHAYEFAR (NPI# 1346780715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346780715 |
| Entity Type | Individual |
| Full Name | DR. JOSHUA BEHNAM SHAYEFAR |
| Credential | DMD |
| Practice Address |
420 E 3rd St Ste 1008 Los Angeles CA 90013-1648 |
| Mailing Address |
432 S San Vicente Blvd Ste 200 Los Angeles CA 90048-4192 |
| Practice Telephone | 2136257141 |
| Mailing Telephone | 3108958362 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 11775 | CT | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
103757 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23731 El Toro Rd Ste D, Lake Forest, CA 926308615 | 9495818108 | |
| 468 Clinton Ave, Bridgeport, CT 066051713 | 2033376266 | 2033376261 |
| 7365 Carnelian St Ste 135, Rancho Cucamonga, CA 917301100 | 5804909347 |
| Street Address |
420 E 3RD ST STE 1008 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90013-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477875458 | Ryan Christopher Wallace | Dentist | 420 E 3rd St Ste 1008, Los Angeles, CA 90013-1648 | 2010-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013470327 | Mia Rashap | Technician, Other | 555 W 5th St, Los Angeles, CA 90013 | 2019-04-12 |
| 1992263941 | Shiane Lyana Ferretti | Technician, Other | 555 West 5th Street, Los Angeles, CA 90013 | 2019-03-08 |
| 1629567060 | Dtla Med | Clinic/Center | 431 S Hewitt St Ste B, Los Angeles, CA 90013 | 2018-05-01 |
| 1386150886 | Abel Joseph Apodaca Jr. | Counselor | 512 East 4th Street, Los Angeles, CA 90013 | 2017-12-19 |
| 1578075560 | Anthony Perez | Case Manager/Care Coordinator | 522 S San Pedro, Los Angeles, CA 90013 | 2017-10-30 |
| 1740724574 | Royalty Group Services Inc | Clinic/Center | 555 West Fifth Street 31st Floor, Los Angeles, CA 90013 | 2016-12-13 |
| 1275930877 | Araceli Zuniga | Rehabilitation Practitioner | 640 South Maple Avenue, Los Angeles, CA 90013 | 2014-11-25 |
| 1558785956 | Carlos Mejia | Counselor | 470 E. 3rd St., Los Angeles, CA 90013 | 2014-02-06 |
| 1679908081 | Troy Gabrielson | Counselor | 470 E. 3rd Street, Suite C, Los Angeles, CA 90013 | 2013-09-05 |
| 1417298753 | Pierre Houbein | Physician Assistant | 311 Winston St., Los Angeles, CA 90013 | 2013-03-12 |
| Find all providers in zip 90013 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1891136768 | Mahdad Nassiri | Dentist | 11740 Wilshire Blvd, Apt A1008, Los Angeles, CA 90025-6536 | 2013-07-08 |
| 1821336116 | Soheil Levi | Dentist | 31 Oakmont Dr, Los Angeles, CA 90049-1901 | 2013-01-22 |
| 1669716437 | Flavia Pirih | Dentist | 100 Ucla Medical Plaza, Suite 320, Los Angeles, CA 90095 | 2012-11-19 |
| 1932453198 | Marwa B Abulhasan | Dentist | 925 W 34th St # 108, Los Angeles, CA 90089-3075 | 2012-11-08 |
| 1588925010 | One Dental Specialties | Dentist | 621 S Western Ave, Suite 116, Los Angeles, CA 90005-3039 | 2012-05-31 |
| 1144591462 | Jacob Elisha | Dentist | 11600 Wilshire Blvd Ste 504, Los Angeles, CA 90025-1788 | 2012-01-18 |
| 1912278417 | Chloe Lea Cohen | Dentist | 655 S Hope St, Suite #1402, Los Angeles, CA 90017-3237 | 2012-01-16 |
| 1568695922 | Aleksander Jovanovic | Dentist | 12217 W Pico Blvd, Los Angeles, CA 90064-1134 | 2009-09-01 |
| 1649427972 | Natasha Yashar | Dentist | 13529 Bayliss Rd, Los Angeles, CA 90049-1812 | 2008-08-18 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90013 |
Please comment or provide details below to improve the information on DR. JOSHUA BEHNAM SHAYEFAR.
| 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.