Active NPI
Saeid Malboubi, DDS
- Periodontics
- Irvine, CA
National Provider Identifier
1013177625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 52426
- Practice address
- 464 Monroe
Irvine, CA 92620-3656 - Phone
- (949) 200-0600
- NPI assigned
- Jun 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 52426 | CA | Primary |
Addresses
Primary practice location
464 Monroe
Irvine, CA 92620-3656
Mailing address
464 Monroe
Irvine, CA 92620-3656
Phone (949) 200-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52426 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1013177625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 MONROE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203656",
"telephone_number": "949-200-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 MONROE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203656",
"telephone_number": "949-200-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALBOUBI",
"first_name": "SAEID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-17",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "52426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.