NPIMap

Organization Active NPI

Masoudaramdds.Inc

  • Dentist
  • Tustin, CA
National Provider Identifier
1053504522
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44818 Issued in CA
Legal business name
MASOUDARAMDDS.INC
Practice address
13771 Newport Ave
#11
Tustin, CA 92780-4693
Phone
(714) 838-7777
Fax
(714) 838-7777
NPI assigned
Aug 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Dr. Masoud Aram, DDSNPI 1285694695
Title
Owner Dentist
Phone
(714) 838-7777

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 44818 CA Primary

Addresses

Primary practice location

13771 Newport Ave
#11
Tustin, CA 92780-4693

Mailing address

13771 Newport Ave
#11
Tustin, CA 92780-4693
Phone (714) 838-7777

Other identifiers 1

IdentifierTypeStateIssuer
B4481801OtherCAMEDICAL

National Provider Directory

National Provider Directory

Locations

13771 Newport Ave
Ste 11
Tustin, CA 92780
Phone (714) 838-7777

Practitioners & affiliated clinicians

Practitioners 2

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": "1187481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1053504522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13771 NEWPORT AVE",
            "address_2": "#11",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804693",
            "telephone_number": "714-838-7777",
            "fax_number": "714-838-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13771 NEWPORT AVE",
            "address_2": "#11",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804693",
            "telephone_number": "714-838-7777",
            "fax_number": "714-838-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASOUDARAMDDS.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-19",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "ARAM",
        "authorized_official_first_name": "MASOUD",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "714-838-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "B4481801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

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

Verify at the official NPI Registry.