Individual provider Active NPI

Kiana Aminian, D.M.D.

  • Public Health Dentistry
  • Los Alamitos, CA
National Provider Identifier
1194618140
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
111559 Issued in CA
Practice address
3612 Florista St
Los Alamitos, CA 90720-2423
Phone
(562) 598-4207
NPI assigned
May 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 111559 CA Primary

Addresses

Primary practice location

3612 Florista St
Los Alamitos, CA 90720-2423

Mailing address

11 Centaurus
Irvine, CA 92603-5717

Other practice location 1

1400 N Harbor Blvd Ste 310
Fullerton, CA 92835-4143
Phone (714) 588-7653

Other practice location 2

13139 Central Ave
Chino, CA 91710-4126
Phone (909) 200-3065

Other practice location 3

4710 Sierra St
Riverside, CA 92504-2241
Phone (951) 324-8180

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

LicenseStateTypeSpecialty
111559CAMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Derick Pham DMD, Inc CurrentSince Jun 15, 2025 Accepting new patients
Mohammad Ali Zareh DDS Inc Past Accepting new patients
Mohammad Ali Zareh DDS Inc PastSince Jul 27, 2020 Accepting new patients

Locations

3612 Florista St
Los Alamitos, CA 90720
Phone (562) 598-4207

Organizations & group practices 3

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.

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": "1749427200000",
    "number": "1194618140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CENTAURUS",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926035717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 FLORISTA ST",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202423",
            "telephone_number": "562-598-4207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Harbor Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928354143",
            "country_code": "US",
            "telephone_number": "714-588-7653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13139 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917104126",
            "country_code": "US",
            "telephone_number": "909-200-3065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4710 Sierra St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925042241",
            "country_code": "US",
            "telephone_number": "951-324-8180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMINIAN",
        "first_name": "KIANA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "111559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.