SANTA MONICA DENTAL ASSOCIATES
NPI 1568674596
Clinic/Center - Dental in Los Angeles, CA

NPI Status: Active since May 03, 2007

Contact Information

11775 SANTA MONICA BLVD
LOS ANGELES, CA
ZIP 90025
Phone: (310) 444-1818
Fax: (310) 444-3196

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 05D2061088
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-20-2027

About SANTA MONICA DENTAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Santa Monica Dental Associates, a provider established in Los Angeles, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1568674596 assigned on May 2007. The practitioner's primary taxonomy code is 261QD0000X with license number 48377 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Santa Monica Dental Associates. The authorized official of this NPI record is Dr. Shahram Ameripour Sr. D.d.s (Owner)

NPI
1568674596
Provider Legal Name
SHAHRAM AMERIPOUR & RAMIN SHENEVAD A DENTAL CORP
Other Organization Name
SANTA MONICA DENTAL ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11775 SANTA MONICA BLVD LOS ANGELES, CA 90025
Location Phone
(310) 444-1818
Location Fax
(310) 444-3196
Mailing Address
11775 SANTA MONICA BLVD LOS ANGELES, CA 90025
Mailing Phone
(310) 444-1818
Mailing Fax
(310) 444-3196
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2007
Last Update Date
07-22-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
48377
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SHAHRAM AMERIPOUR SR. D.D.S

Authorized Official Title
OWNER
Authorized Official Phone
(310) 444-1818

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2061088
Facility Type
Physician Office
Certificate Effective Date
June 21, 2025
Certificate Expiration Date
June 20, 2027
Laboratory Director
DANIEL NORMAN, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Santa Monica Dental Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568674596, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 1 + 2 + 7 + 8 + 5 + 1 + 8 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1568674596.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (General Practice)
11775 SANTA MONICA BLVD
LOS ANGELES, CA 90025
Dentist (General Practice)
11775 SANTA MONICA BLVD
LOS ANGELES, CA 90025
Clinic/Center (Dental)
11775 SANTA MONICA BLVD
LOS ANGELES, CA 90025
Dentist
11775 SANTA MONICA BLVD
LOS ANGELES, CA 90025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568674596, enumerated as an "organization" on May 03, 2007.

The provider is located at 11775 SANTA MONICA BLVD LOS ANGELES, CA 90025 and the phone number is (310) 444-1818.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.