Kourosh Harandi, DDS., MS.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

52802 Issued in CA

Practice address

1500 Tara Hills Dr
Ste 202
Pinole, CA 94564-2526

Phone

(510) 724-3666

Fax

(510) 724-5923

NPI assigned

May 28, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kourosh Harandi DDS. Ms. Inc.

  • Dental Clinic/Center
  • Pinole, CA
  • NPI 1215051453
  NPD (past) Authorized official

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235132770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 TARA HILLS DR",
            "address_2": "STE 202",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642526",
            "telephone_number": "510-724-3666",
            "fax_number": "510-724-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 TARA HILLS DR",
            "address_2": "STE 202",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642526",
            "telephone_number": "510-724-3666",
            "fax_number": "510-724-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARANDI",
        "first_name": "KOUROSH",
        "name_prefix": "Dr.",
        "credential": "DDS., MS.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "52802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Gutierrez
• Rahwa Haile, DNP
• Bernard John Hale, O. D.
• Shane Oliver Hall, DPM
• Hanger Prosthetics & Orthotics West Inc
• Evelyn Duenas Harris, LCSW
• Tomohiro Hayashi
• Healthy Lifestyles and Prescriptive Exercise
• Healthy Living Clinic, a Nursing Corporation
• Craig Healy, D.D.S.

• Periodontics in Pinole, CA
• Providers in Pinole, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.