Organization Active NPI

Katayoun Massoudi, DDS Incorporated

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
National Provider Identifier
1285864223
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KATAYOUN MASSOUDI, DDS INCORPORATED
Practice address
30092 Santa Margarita Pkwy
Ste. K
Rancho Santa Margarita, CA 92688-3606
Phone
(949) 888-0086
Fax
(949) 888-0095
NPI assigned
Jul 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Authorized official

Name
Kathy J Gelberger, RDA
Title
Office Manager
Phone
(949) 888-0086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

30092 Santa Margarita Pkwy
Ste. K
Rancho Santa Margarita, CA 92688-3606

Mailing address

30092 Santa Margarita Pkwy
Ste. K
Rancho Santa Margarita, CA 92688-3606
Phone (949) 888-0086

National Provider Directory

National Provider Directory

Locations

30092 Santa Margarita Pkwy
Ste K
Rancho Santa Margarita, CA 92688
Phone (949) 888-0086

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1285864223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30092 SANTA MARGARITA PKWY",
            "address_2": "STE. K",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883606",
            "telephone_number": "949-888-0086",
            "fax_number": "949-888-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30092 SANTA MARGARITA PKWY",
            "address_2": "STE. K",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883606",
            "telephone_number": "949-888-0086",
            "fax_number": "949-888-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATAYOUN MASSOUDI, DDS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "GELBERGER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-888-0086",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.