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Kelishadi Samani Dental Corp

Dentist in Carson, CA · enumerated 2007 · authorized official Marjan Kelishadi, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508069576

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Registry record

Entity type Organization (Type 2)
Legal business name Kelishadi Samani Dental Corp
Practice address 23541 Avalon Blvd, Carson, CA, 90745
Phone (310) 830-3500
Fax (310) 830-7994
Enumeration date Jun 7, 2007
Last updated in NPPES Jul 3, 2008

Taxonomy & classification

122300000X Dentist Dental Providers · License 41930 (CA) Primary

Authorized official

Name Marjan Kelishadi
Title Dentist
Phone (310) 830-3500

Other identifiers

Identifier Type State Issuer
G9300701 Medicaid CA -
809101 Other CA UNITED CONCORDIA
612331200 Other CA AFFILIATED COMPUTER SERVI
G9805001 Other CA HEALTHY FAMILIES

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kelishadi Samani Dental Corp?
The NPI for Kelishadi Samani Dental Corp is 1508069576, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kelishadi Samani Dental Corp?
NPPES lists Marjan Kelishadi (Dentist) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-03.