Individual provider Active NPI

Ava Pournejad, DDS

  • Dentist
  • Irvine, CA
National Provider Identifier
1063137305
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108094 Issued in CA
Practice address
5321 University Dr Ste a
Irvine, CA 92612-2942
Phone
(949) 653-2244
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2022034664 MO
Dentist 122300000X 108094 CA Primary

Addresses

Primary practice location

5321 University Dr Ste a
Irvine, CA 92612-2942

Mailing address

402 Cervantes CT
Irvine, CA 92617-4118
Phone (949) 235-9914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20221219000280 MO Order and Referring Only - DentistPractitioner - Dentist 4880063650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108094CAMDDentist
2022034664MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sahawneh Dental Corporation Dentist PastSince Sep 1, 2024 Accepting new patients
Parsangi Dental Corporation Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1063137305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 CERVANTES CT",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926174118",
            "telephone_number": "949-235-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 UNIVERSITY DR STE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122942",
            "telephone_number": "949-653-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURNEJAD",
        "first_name": "AVA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2022034664",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.