Mona Dousti, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

103353 Issued in CA

Practice address

70 Brindisi
Irvine, CA 92618-0109

Phone

(310) 600-6582

NPI assigned

Apr 14, 2020

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

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

State licenses

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1124647607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BRINDISI",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180109",
            "telephone_number": "310-600-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BRINDISI",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180109",
            "telephone_number": "310-600-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUSTI",
        "first_name": "MONA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "103353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Izabel Doublin
• Nancy Joan Doucet, L.C.S.W.
• John Patrick Dougherty, P.T.A., A.,T.,C.
• Janelle Faith Douglas
• Mahsa Dousti
• Dr Afshin Pourreza & Associates Inc
• Dr Christopher Romig
• Dr Khang H Lai D O Inc
• Dr Richard a Sarlitt an Optometric Corporation
• Dr Terry Tsang Optometry

• Pediatric Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.