Naman Zia Ebrahimi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63944 Issued in CA

Practice address

11160 Warner Ave Ste 205
Fountain Valley, CA 92708-4048

Phone

(714) 957-1044

NPI assigned

Jul 24, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

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.

• Shahrestani Deer Springs Modern Dentistry, PC

  • Dentist
  • North Las Vegas, NV
  • NPI 1922351931
  NPD (past)

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1467860247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 205",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084048",
            "telephone_number": "714-957-1044",
            "fax_number": "714-957-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 205",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084048",
            "telephone_number": "714-957-1044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 E Deer Springs Way Ste 180",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890861514",
            "country_code": "US",
            "telephone_number": "702-399-3800",
            "fax_number": "702-399-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIA EBRAHIMI",
        "first_name": "NAMAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6520",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Zalzaleh, DO
• Zavier Shawkat Ahmed MD Inc
• Richard Alan Zelner
• Justina K Zhang, PA-C
• Danbo Zhao, ACUPUNCTURIST
• Sheldon L Zide, M.D.
• Dale Leon Zimmerman, PT
• Margaret Zimmerman, MD
• Tracy Hope Zivin-Tutela, MD
• Suzette Zuno de la Cruz

• General Practice Dentistry in Fountain Valley, CA
• Providers in Fountain Valley, 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 Apr 19, 2021; 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.