Wilshire Oral Surgery & Implant Center
NPI 1205370319 · Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA
Wilshire Oral Surgery & Implant Center is a Oral and Maxillofacial Surgery (Dentist) organization in Los Angeles, CA (NPI 1205370319).
Provider details
- NPI number
- 1205370319
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jonathan Shadi, President(310) 652-6553
- License
- 58812 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Jonathan Shadi, DDS, Inc
Registry dates
- Enumerated
- 2016-12-08
- Last updated
- 2016-12-13
Frequently asked questions
- What is Wilshire Oral Surgery & Implant Center's NPI number?
- Wilshire Oral Surgery & Implant Center's National Provider Identifier (NPI) is 1205370319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wilshire Oral Surgery & Implant Center?
- Wilshire Oral Surgery & Implant Center is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Wilshire Oral Surgery & Implant Center located?
- Wilshire Oral Surgery & Implant Center's practice location on file with NPPES is 12300 Wilshire Blvd, Los Angeles, CA 90025-1020.
- What is Wilshire Oral Surgery & Implant Center's phone number?
- The practice phone number listed in the NPPES registry for Wilshire Oral Surgery & Implant Center is (310) 652-6553.
- Who is the authorized official for Wilshire Oral Surgery & Implant Center?
- The authorized official listed on Wilshire Oral Surgery & Implant Center's NPPES record is Jonathan Shadi, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wilshire Oral Surgery & Implant Center's NPI active?
- Yes — Wilshire Oral Surgery & Implant Center's NPI (1205370319) is active in the NPPES registry as of the last update on 2016-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.