Individual provider Active NPI

Rouhi Beizai, D.D.S.

  • General Practice Dentistry
  • Corona, CA
National Provider Identifier
1013926989
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37787 Issued in CA
Practice address
1307 W 6TH St
Ste 113
Corona, CA 92882-3168
Phone
(951) 278-8910
Fax
(951) 278-9895
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37787 CA Primary

Addresses

Primary practice location

1307 W 6TH St
Ste 113
Corona, CA 92882-3168

Mailing address

1307 W 6TH St
Suite #113
Corona, CA 92882-3294
Phone (951) 278-8910

Other names 1

  • Mrs. Rouhangiz Beizaie Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1013926989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W 6TH ST",
            "address_2": "SUITE #113",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823294",
            "telephone_number": "951-278-8910",
            "fax_number": "951-278-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W 6TH ST",
            "address_2": "STE 113",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823168",
            "telephone_number": "951-278-8910",
            "fax_number": "951-278-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEIZAI",
        "first_name": "ROUHI",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROUHANGIZ",
            "last_name": "BEIZAIE",
            "prefix": "MRS.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.