Neshat Rezai, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

42087 Issued in CA

Practice address

2844 Summit St Ste 203
Oakland, CA 94609-3642

Phone

(510) 296-8080

NPI assigned

Dec 28, 2006

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nrezai585231@direct.ochin.org
• Direct secure messaging: neshat.rezai.p1@direct.csvs.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifelong Medical Care

  • Family Medicine Physician
  • Rodeo, CA
  • NPI 1003289463
  NPD (past)
• Lifelong Medical Care

  • General Practice Dentistry
  • Berkeley, CA
  • NPI 1013913300
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1033275029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2844 SUMMIT ST STE 203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093642",
            "telephone_number": "510-296-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2844 SUMMIT ST STE 203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093642",
            "telephone_number": "510-296-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAI",
        "first_name": "NESHAT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Reynoso, PSY.D.
• Socorro Mariza Reynoso
• Shawheen Justin Rezaei
• Arash Rezagholipour Sarabi
• Ali Allen Rezai, D.D.S.
• Mark Rha, REGISTERED NURSE
• Demi Rhine, PSY. D.
• Chelsea Rhoades, MD
• Katherine Anne Rhodes, NPF
• Paul Robert Rhodes, DDS, MSD

• Dentist in Oakland, CA
• Providers in Oakland, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.