NPIMap

Organization Active NPI

Reza M. Birjandi D.D.S.,a Professional Dental Corporation

  • Dentist
  • Aliso Viejo, CA
National Provider Identifier
1215350467
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38259 Issued in NU
Legal business name
REZA M. BIRJANDI D.D.S.,A PROFESSIONAL DENTAL CORPORATION
Practice address
15 Mareblu Suite 360
Aliso Viejo, CA 92656
Phone
(949) 360-9700
Fax
(949) 362-5182
NPI assigned
Jan 23, 2014
Last updated
Sep 27, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
REZA M. BIRJANDI DDS A PROFESSIONAL DENTAL CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Authorized official

Name
Ms. Esbeidy Lomeli
Title
Office Manager
Phone
(951) 323-3750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38259 NU Primary

Addresses

Primary practice location

15 Mareblu Suite 360
Aliso Viejo, CA 92656

Mailing address

27066 South la Paz Road
Aliso Viejo, CA 92656-3041
Phone (949) 360-9700

National Provider Directory

National Provider Directory
Tax ID family
Reza M Birjandi DDS a Professional Dental Corporation3 organizations share this tax ID, including this one
Part of
Reza M Birjandi DDS a Professional Dental Corporation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27066 La Paz Rd
Aliso Viejo, CA 92656
Phone (949) 360-9700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1215350467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27066 SOUTH LA PAZ ROAD",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563041",
            "telephone_number": "949-360-9700",
            "fax_number": "949-362-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAREBLU SUITE 360",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "92656",
            "telephone_number": "949-360-9700",
            "fax_number": "949-362-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA M. BIRJANDI D.D.S.,A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REZA M. BIRJANDI DDS A PROFESSIONAL DENTAL CORP.",
        "enumeration_date": "2014-01-23",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "LOMELI",
        "authorized_official_first_name": "ESBEIDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-323-3750",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": "38259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.