Poupak Jaberi Zadeh, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DDS102242 Issued in CA

Practice address

1215 E Chapman Ave
Orange, CA 92866-2237

Phone

(714) 633-4600

NPI assigned

Jun 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Poupak Bayat Former 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": "1527897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527897600000",
    "number": "1467944702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 VIA CONOCIDO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926737044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662237",
            "telephone_number": "714-633-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADEH",
        "first_name": "POUPAK",
        "middle_name": "JABERI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-02",
        "last_updated": "2018-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS102242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POUPAK",
            "last_name": "BAYAT",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raena Eileen Zabala
• Edrisse Ann Zabat
• Stefany Jasmin Zacarias, LPCC
• Kayra Kalani Zacatelco Ortiz
• Neda Sarah Zadeh, M.D.
• Touran M Zadeh, MD
• Erin F Zadrozny, LCSW
• Jenna Zager
• Shahab Zahed, MD
• Jill Marie Zakaryan, ACSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.