Organization Active NPI

Ramin Khoshsar DDS, DMD, Inc.

  • General Practice Dentistry
  • Lake Forest, CA
National Provider Identifier
1023542586
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64391 Issued in CA
Legal business name
RAMIN KHOSHSAR DDS, DMD, INC.
Doing business as
Baker Ranch Dental Spa & Implant Center
Practice address
26501 Rancho Pkwy S
Suite 202
Lake Forest, CA 92630-8358
Phone
(949) 273-8220
Fax
(949) 273-8120
NPI assigned
Apr 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Dr. Ramin Khoshsar, DMDNPI 1003212333
Title
Dentist/Owner
Phone
(949) 273-8220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 64391 CA Primary

Addresses

Primary practice location

26501 Rancho Pkwy S
Suite 202
Lake Forest, CA 92630-8358

Mailing address

26501 Rancho Pkwy S
Suite 202
Lake Forest, CA 92630-8358
Phone (949) 273-8220

Other names 1

  • Baker Ranch Dental Spa & Implant Center Doing business as

National Provider Directory

National Provider Directory

Locations

26501 Rancho Pkwy S
Ste 202
Lake Forest, CA 92630
Phone (949) 273-8220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1023542586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26501 RANCHO PKWY S",
            "address_2": "SUITE 202",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308358",
            "telephone_number": "949-273-8220",
            "fax_number": "949-273-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26501 RANCHO PKWY S",
            "address_2": "SUITE 202",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308358",
            "telephone_number": "949-273-8220",
            "fax_number": "949-273-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMIN KHOSHSAR DDS, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "KHOSHSAR",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "949-273-8220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baker Ranch Dental Spa & Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.