Hemmat & Roboubi DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

63504 Issued in CA

Legal business name

HEMMAT & ROBOUBI DDS INC.

Practice address

1799 N Waterman Ave
San Bernardino, CA 92404-5107

Phone

(714) 244-7244

NPI assigned

Aug 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mojdeh Roboubi, DMD

Title

Owner Dentist

Phone

(714) 244-7244

Specialties & licenses 1

Addresses

Other names 1

• ROBOUBI DDS. Doing business as

Locations

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1043764913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 NATURE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045107",
            "telephone_number": "714-244-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMMAT & ROBOUBI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "ROBOUBI",
        "authorized_official_first_name": "MOJDEH",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "714-244-7244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "63504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBOUBI DDS.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.