Raheleh Renee Pourtemour, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

58649 Issued in CA

Practice address

2272 Michelson Drive
Suite 106
Irvine, CA 92612-1324

Phone

(949) 531-8889

NPI assigned

Aug 19, 2008

Last updated

Mar 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Renee Pourtemour Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1457508764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 MICHELSON DRIVE",
            "address_2": "SUITE 106",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121324",
            "telephone_number": "949-531-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 MICHELSON DRIVE",
            "address_2": "SUITE 106",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121324",
            "telephone_number": "949-531-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURTEMOUR",
        "first_name": "RAHELEH",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054067-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054067-1",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "POURTEMOUR",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bijan Pourjamasb, D.D.S., M.S.D.
• Amir Pourmand, MFT
• Ava Pournejad, DDS
• Afshin Pourreza, PSY, D.
• Mishan Pourshirazi, MA
• Chloe Powell
• Cynthia M Powell, PA-C
• Teresa Powell
• Power Talk Marriage and Family Therapy Inc. (Power Talk Therapy)
• Trace Patric Power, PT

• Dentist in Irvine, CA
• Providers in Irvine, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.