Healthcare Provider Details

I. General information

NPI: 1831004175
Provider Name (Legal Business Name): MOUSHEGH SHAKARIAN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 TOWN CENTER DR STE 250
OXNARD CA
93036-1159
US

IV. Provider business mailing address

10820 COZYCROFT AVE
CHATSWORTH CA
91311-1609
US

V. Phone/Fax

Practice location:
  • Phone: 805-301-1963
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number113493
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: