Kourosh Rahimpour, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

55917 Issued in CA

Practice address

23532 El Toro Rd
Suite 4
Lake Forest, CA 92630-4703

Phone

(949) 466-9616

Fax

(949) 466-9616

NPI assigned

Jan 20, 2009

Last updated

Dec 15, 2023By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kourosh Rahimpour DDS, PC

  dba OC Family Dentistry

  • General Practice Dentistry
  • Lake Forest, CA
  • NPI 1821495482
  NPD Authorized official

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1417194994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23532 EL TORO RD",
            "address_2": "SUITE 4",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304703",
            "telephone_number": "949-837-6453",
            "fax_number": "949-837-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23532 EL TORO RD",
            "address_2": "SUITE 4",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304703",
            "telephone_number": "949-466-9616",
            "fax_number": "949-466-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIMPOUR",
        "first_name": "KOUROSH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.