NPIMap

Organization Active NPI

Gholam-Reza Zarrinnegar DDS Inc

  • Dentist
  • Reseda, CA
National Provider Identifier
1295924959
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53492 Issued in CA
Legal business name
GHOLAM-REZA ZARRINNEGAR DDS INC
Practice address
19231 Victory Blvd
Suite 37
Reseda, CA 91335-6308
Phone
(818) 344-0177
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. Gholam-Reza Zarrinnegar, DDSNPI 1962565119
Title
President
Phone
(818) 344-0177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 53492 CA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 56090 CA

Addresses

Primary practice location

19231 Victory Blvd
Suite 37
Reseda, CA 91335-6308

Mailing address

19231 Victory Blvd
Suite 37
Reseda, CA 91335-6308

National Provider Directory

National Provider Directory

Locations

19231 Victory Blvd
Ste 37
Reseda, CA 91335
Phone (818) 344-0177

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1295924959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD",
            "address_2": "SUITE 37",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD",
            "address_2": "SUITE 37",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356308",
            "telephone_number": "818-344-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHOLAM-REZA ZARRINNEGAR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "ZARRINNEGAR",
        "authorized_official_first_name": "GHOLAM-REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-344-0177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53492",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.