Reza Mohammad Birjandi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

38259 Issued in CA

Practice address

27066 South la Paz Rd
Aliso Viejo, CA 92656

Phone

(949) 360-9700

Fax

(949) 362-5182

NPI assigned

Oct 1, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Reza M. Birjandi D.D.S.,a Professional Dental Corporation

  • Dentist
  • Aliso Viejo, CA
  • NPI 1215350467
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1083801336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27066 SOUTH LA PAZ RD",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "92656",
            "telephone_number": "949-360-9700",
            "fax_number": "949-362-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27066 SOUTH LA PAZ RD",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "92656",
            "telephone_number": "949-360-9700",
            "fax_number": "949-362-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRJANDI",
        "first_name": "REZA",
        "middle_name": "MOHAMMAD",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "G9410101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Dermatology and Laser Center
• Roland Spurgeon Beverly III, M.D.
• Ambika Bhushan
• Melanie Rachelle Bigda, CPM, LM
• Shahnam Zand Biglari, PHARMD, BCNP
• Paul Bishop
• Mindy Kaye Bixby, D.O.
• Kenneth Joel Bloom, M.D.
• Tracy L Blum, PT
• Peter Franklin Gene Boller, PT

• Dentist in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.