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Nishan W. Matossian, D.D.S

NPI 1861777062ActiveOrganization· Preferred Provider Organization· Lancaster, CA

Preferred Provider Organization in Lancaster, California, registered in NPPES in October 2011. The authorized official on file is Sara Juliette Boyadjian, Manager.

Overview

NPI1861777062
StatusActive
Entity typeOrganization
NPI issuedOct 19, 2011
Last updated in NPPESOct 19, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X37449CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Preferred Provider Organization providers in Lancaster

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