Neda Pourrahimi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104107 Issued in CA

Practice address

555 Marin St Ste 150
Thousand Oaks, CA 91360-4103

Phone

(805) 379-1167

NPI assigned

Aug 7, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1003461872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MARIN ST STE 150",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MARIN ST STE 150",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604103",
            "telephone_number": "805-379-1167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4217 Tierra Rejada Rd",
            "address_purpose": "LOCATION",
            "city": "Moorpark",
            "state": "CA",
            "postal_code": "930213772",
            "country_code": "US",
            "telephone_number": "805-334-5620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POURRAHIMI",
        "first_name": "NEDA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Gavin Porto, LMFT 150139
• Barbara Lynn Porush, MFT
• Robin Joseph Pottukalam, D.P.T.
• Leili Pourafkari
• Zahra Pournabavi
• Pegah Pourrahimi, D.D.S.
• Powercare Home Health Corporation
• Prabha Venugopal MD Inc
• Sangeeta Prabhakar, MD
• Michelle Denise Prado

• General Practice Dentistry in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.