Arezou Goshtasbi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41916 Issued in CA

Practice address

22706 Aspan St
Suite 602
Lake Forest, CA 92630-1603

Phone

(949) 716-7000

NPI assigned

May 20, 2010

Last updated

May 20, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Castaneda Fassioli Dental Corp

  • Dental Clinic/Center
  • Lake Forest, CA
  • NPI 1598270993
  NPD (past)
• Kathy Maasoumi D.D.S Inc.

  • Dentist
  • Lake Forest, CA
  • NPI 1033236484
  NPD (past)

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1073832705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22706 ASPAN ST",
            "address_2": "SUITE 602",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301603",
            "telephone_number": "949-716-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22706 ASPAN ST",
            "address_2": "SUITE 602",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301603",
            "telephone_number": "949-716-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSHTASBI",
        "first_name": "AREZOU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Shepherd Lutheran Home of the West (Good Shepherd Communities)
• Steven Marcus Goodman, L.AC.
• John Maxwell Gooing, DC
• Jason Michael Gorden
• Bryce Jay Allen Gordon, ATC, MA, CES
• Grace Hunter DO Inc
• Grace Speech Therapy Corp
• Cinthya Grajeda
• Hanna Noel Green
• Nathanael Gideon Green

• General Practice Dentistry in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.