Active NPI
Amir Reza Nojoumian, DDS
- Dentist
- Fresno, CA
National Provider Identifier
1184317901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108812
- Practice address
- 3143 Matoian Way Apt 226
Fresno, CA 93710-6665 - Phone
- (949) 842-0678
- NPI assigned
- May 29, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 108812 | CA | |
| Dentist | 122300000X | 108812 | CA | Primary |
Addresses
Primary practice location
3143 Matoian Way Apt 226
Fresno, CA 93710-6665
Mailing address
3143 Matoian Way Apt 226
Fresno, CA 93710-6665
Phone (949) 842-0678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108812 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1184317901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3143 MATOIAN WAY APT 226",
"city": "FRESNO",
"state": "CA",
"postal_code": "937106665",
"telephone_number": "949-842-0678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3143 MATOIAN WAY APT 226",
"city": "FRESNO",
"state": "CA",
"postal_code": "937106665",
"telephone_number": "949-842-0678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOJOUMIAN",
"first_name": "AMIR",
"middle_name": "REZA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-29",
"last_updated": "2023-05-29",
"certification_date": "2023-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "108812",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.