Mehran Rastegar-Lari, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS65190 Issued in CA

Practice address

22391 Antonio Pkwy Ste J200
Rancho Santa Margarita, CA 92688-3957

Phone

(949) 888-8989

Fax

(949) 888-8807

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mehran Rastegar-Lari, D.D.S., Inc.

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
  • NPI 1902641269
  NPD Authorized official
• Reagan Dental Corporation

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
  • NPI 1578660759
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1154380848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GOLF VIEW DR",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793802",
            "telephone_number": "949-878-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22391 ANTONIO PKWY STE J200",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883957",
            "telephone_number": "949-888-8989",
            "fax_number": "949-888-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTEGAR-LARI",
        "first_name": "MEHRAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6100",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS65190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainbow Kids Achievement Center
• Maria Lenore Raine, LCSW
• Felicia Catalina Ramirez, RADT
• Hector Gustavo Ramirez Jr., M.D.
• Rancho Santa Margarita Physical Therapy Sports Medicine Inc
• Reagan Dental Corporation
• Rejuve Family Counseling, Inc.
• Renew Wellness Physical Therapy
• Monica Reyes, O.D.
• Marielle Reyesbaje, PHARM.D.

• General Practice Dentistry in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, 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 Jul 18, 2024; 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.