Sean Noorvash, DDS MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

35896 Issued in CA

Practice address

1820 Fullerton Ave
#220
Corona, CA 92881

Phone

(951) 279-2251

Fax

(951) 279-5607

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shahab Noorvash Other name

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

Credentials

Master of Science

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083710289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE",
            "address_2": "#220",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92881",
            "telephone_number": "951-279-2251",
            "fax_number": "951-279-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE",
            "address_2": "#220",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92881",
            "telephone_number": "951-279-2251",
            "fax_number": "951-279-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORVASH",
        "first_name": "SEAN",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "35896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAHAB",
            "last_name": "NOORVASH",
            "credential": "DDS MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Njuguna
• Lisa Noble
• Chad David Noel Jr., D.C.
• Rusty Nofo
• Yenni Nolasco
• Lynna Norales
• Michelle Rose Noren
• Danielle Marie Norgaard, LMFT
• Jael Noriega, LMFT
• Tricia Norkunas

• Endodontics in Corona, CA
• Providers in Corona, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.