Taqavi and Soroushian Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TAQAVI AND SOROUSHIAN DENTAL CORPORATION

Practice address

1540 N Tracy Blvd
Tracy, CA 95376-2903

Phone

(925) 876-4680

NPI assigned

Nov 5, 2020

Last updated

Nov 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Pooya Sorooshian

Title

Office Manager

Phone

(925) 876-4680

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1457952475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762903",
            "telephone_number": "925-876-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762903",
            "telephone_number": "925-876-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAQAVI AND SOROUSHIAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "SOROOSHIAN",
        "authorized_official_first_name": "POOYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-876-4680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harwinder Takhar
• Deanna Elena Talamantes
• Mariah Isaiah Taleon
• Daisy Tamayo
• Shelley Tang-Drewniak, PHARM.D
• Aisha Tarin
• James E. Taylor, PSY. D.
• Kamila Taylor
• Siobhan Taylor
• Malika Tbaini

• Dental Clinic/Center in Tracy, CA
• Providers in Tracy, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.