1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Dentist
  6. NPI Profile

JONATHAN SHADI, DDS, INC
NPI 1205370319
Dentist - Oral and Maxillofacial Surgery in Los Angeles, CA

Active since December 08, 2016
12300 WILSHIRE BLVD, SUITE #326, LOS ANGELES, CA 90025(310) 652-6553(310) 652-6553 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Shadi, Dds, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN SHADI, DDS, INC (NPI 1205370319) is a healthcare organization registered as an oral and maxillofacial surgery in Los Angeles, California and active in the NPI registry since December 2016. The organization lists Jonathan Shadi, President, as its authorized official.

NPPES Registry Identity

NPI1205370319
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWILSHIRE ORAL SURGERY & IMPLANT CENTER
Location Address12300 WILSHIRE BLVD, SUITE #326Los Angeles, CA 90025-1020
Mailing Address12300 Wilshire Blvd, Suite #326Los Angeles, CA 90025-1020 · (310) 652-6553 · Fax (310) 652-6553
Phone(310) 652-6553
Fax(310) 652-6553
Organization SubpartNo
Authorized OfficialJonathan ShadiPresident · (310) 652-6553
Enumeration DateDecember 8, 2016
Last NPPES UpdateDecember 13, 2016
✔ NPI 1205370319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in CA · 63560✔ Licensed in CA · 58812
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
12300 WILSHIRE BLVD, Los Angeles, CA 90025
Open in Google Maps ↗

Other Names 1

Other NameJonathan Shadi, Dds, Inc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH MICHAEL SMURDA
Psychiatry & Neurology (Psychiatry)
12300 WILSHIRE BLVD, SUITE 330
LOS ANGELES, CA 90025
Los Angeles County (310) 820-3333
LINDA MOGHTADER M.D.
Psychiatry & Neurology (Psychosomatic Medicine)
12300 WILSHIRE BLVD, SUITE 330
LOS ANGELES, CA 90025
Los Angeles County (310) 442-7601
DR. JONATHAN R. SHADI D.D.S.
Oral & Maxillofacial Surgery
12300 WILSHIRE BLVD, STE 326
LOS ANGELES, CA 90025
Los Angeles County (310) 954-9449
DR. HARVEY ALLEN STERNBACH MD
Psychiatry & Neurology (Psychiatry)
12300 WILSHIRE BLVD, #330
LOS ANGELES, CA 90025
Los Angeles County (310) 979-7774
DR. RONALD ALAN GERSHMAN M.D.
Psychiatry & Neurology (Addiction Psychiatry)
12300 WILSHIRE BLVD, SUITE 310
LOS ANGELES, CA 90025
Los Angeles County (310) 207-7166
ZIVA DOSHI LCSW, OSW-C
Social Worker (Clinical)
12300 WILSHIRE BLVD
LOS ANGELES, CA 90025
Los Angeles County (424) 625-8783

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilshire Oral Surgery & Implant Center's NPI number?

The NPI number for Wilshire Oral Surgery & Implant Center is 1205370319. It was assigned to this organization in the NPPES registry on December 8, 2016. The provider is also known as Jonathan Shadi, Dds, Inc.

Where is Wilshire Oral Surgery & Implant Center located?

Wilshire Oral Surgery & Implant Center is located at 12300 Wilshire Blvd Suite #326, Los Angeles, CA 90025. The listed phone number is (310) 652-6553.

What is Wilshire Oral Surgery & Implant Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Wilshire Oral Surgery & Implant Center accept?

Health plans from UnitedHealthcare list Wilshire Oral Surgery & Implant Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wilshire Oral Surgery & Implant Center was last updated on December 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.