Nasrin Khajeh, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57671 Issued in CA

Practice address

2530 Bryan Ave Ste E
Tustin, CA 92782-8916

Phone

(714) 508-8080

NPI assigned

Sep 4, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Nasrin Khajeh DMD, Inc.

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1265058176
  NPD Authorized official
• Thuytien Ton, D.D.S., Inc

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1922057595
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1164670931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 BRYAN AVE STE E",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828916",
            "telephone_number": "714-508-8080",
            "fax_number": "714-508-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 BRYAN AVE STE E",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828916",
            "telephone_number": "714-508-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAJEH",
        "first_name": "NASRIN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Zarina Khabibulina
• Khaldoun a Debian MD a Medical Corporation
• David Khalili, LMFT
• Aminah Khan
• Tariq A Khan, M.D.
• Smriti Khandelwal, M. S. CCC-SLP

• General Practice Dentistry in Tustin, CA
• Providers in Tustin, 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 20, 2020; 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.