Pedram Ghasri MD a Professional Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PEDRAM GHASRI MD A PROFESSIONAL CORPORATION

Practice address

25425 Orchard Village Rd
Santa Clarita, CA 91355-2955

Phone

(818) 425-5039

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Pedram Ghasri, MD

Title

Officer

Phone

(818) 425-5039

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1316664121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25425 ORCHARD VILLAGE RD STE 170",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913552959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25425 ORCHARD VILLAGE RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913552955",
            "telephone_number": "818-425-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRAM GHASRI MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "GHASRI",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "818-425-5039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "castle.ema.md",
            "affiliation": "N",
            "endpointDescription": "Protected messaging via our electronic health system, EMA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25425 Orchard Village Rd",
            "city": "Santa Clarita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913552955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• PC Medical Clinic Inc
• Slade Pearce
• Nasim Pedarsani, OD
• Pediatric Therapy of Santa Clarita
• Pediatric Therapy of Santa Clarita
• Pedram N Soleimani DDS Inc.
• Ashley Nicole Pedraza
• Jessica Peeples, CCC-SLP
• Deja Pelle
• Kristin Anne Pena, AUD

• Dermatology Physician in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.