Reza Ghasemi, DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REZA GHASEMI, DDS INC.

Practice address

9849 Atlantic Ave Ste F
South Gate, CA 90280-5200

Phone

(323) 457-8787

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reza Ghasemi, DDSNPI 1205496155

Title

Owner Dentist

Phone

(323) 457-8787

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Reza Ghasemi

  • Dentist
  • South Gate, CA
  • NPI 1205496155
  NPD Authorized official

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1255918660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9849 ATLANTIC AVE STE F",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902805200",
            "telephone_number": "323-457-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9849 ATLANTIC AVE STE F",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902805200",
            "telephone_number": "323-457-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA GHASEMI, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "GHASEMI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "323-457-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "103781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edgar Reyes, P.A.
• Jesus Manuel Reyes, P.A.
• Mayra Reyes
• Miguel Angel Reyes, RDA
• Valerie Eve Reyes
• Malik Ashton Rice
• Barry A Richmond, D.P.M.
• Sonia Rico
• Maher Rifai
• Arthur Albert Rios, SUDRC

• General Practice Dentistry in South Gate, CA
• Providers in South Gate, 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 Mar 24, 2021; 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.