Active NPI
Amir Ozhan Kashkooli, DMD
- Dentist
- Temecula, CA
National Provider Identifier
1124911359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111549
- Practice address
- 27450 Ynez Rd Ste 204
Temecula, CA 92591-4681 - Phone
- (949) 351-3574
- NPI assigned
- May 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 111549 | CA | Primary |
Addresses
Primary practice location
27450 Ynez Rd Ste 204
Temecula, CA 92591-4681
Mailing address
32073 Via Saltio
Temecula, CA 92592-1077
Phone (949) 351-3574
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250807002975 | CA | Order and Referring Only - Dentist | 1658879887 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111549 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1124911359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32073 VIA SALTIO",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925921077",
"telephone_number": "949-351-3574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27450 YNEZ RD STE 204",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925914681",
"telephone_number": "949-351-3574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASHKOOLI",
"first_name": "AMIR",
"middle_name": "OZHAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-29",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.