Homayoun Pourshirazi, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44064 Issued in CA

Practice address

27192 Newport Rd
Suite 2
Menifee, CA 92584-7387

Phone

(951) 672-9457

Fax

(951) 672-7878

NPI assigned

Nov 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• H. Pourshirazi DMD, Inc

  • General Practice Dentistry
  • Sun City, CA
  • NPI 1003957457
  NPD Authorized official
• Homayoun Pourshirazi DMD PC

  • General Practice Dentistry
  • Menifee, CA
  • NPI 1386785749
  NPD Authorized official
• H. Poushirazi DMD, Inc

  • General Practice Dentistry
  • Murrieta, CA
  • NPI 1114156809
  NPD (past) Authorized official
• Pourshirazi & Sareh Dental Corp

  • Dental Clinic/Center
  • San Bernardino, CA
  • NPI 1053884924
  NPD (past) Authorized official

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1376797621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27192 NEWPORT RD",
            "address_2": "SUITE 2",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847387",
            "telephone_number": "951-672-9457",
            "fax_number": "951-672-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27192 NEWPORT RD",
            "address_2": "SUITE 2",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847387",
            "telephone_number": "951-672-9457",
            "fax_number": "951-672-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURSHIRAZI",
        "first_name": "HOMAYOUN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "44064",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Portman, LVN
• Portsmouth Senior Home LLC
• Poulsen Dental Corporation
• Kyle Douglass Poulsen, D.D.S.
• Pourshirazi Dental Corporation
• Andrea Powell
• Jeremy Taylor Powers, DMD
• Radha Prasad
• Stephanie Pratt
• Jason Thomas Prause

• General Practice Dentistry in Menifee, CA
• Providers in Menifee, 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 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.