Active NPI
Hengameh Yousefzadeh-Ghoochani, DDS
- Dentist
- San Jose, CA
National Provider Identifier
1497800155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 54939
- Practice address
- 1201 Park Ave
2
San Jose, CA 95126-2919 - Phone
- (408) 971-9990
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 54939 | CA | Primary |
Addresses
Primary practice location
1201 Park Ave
2
San Jose, CA 95126-2919
Mailing address
5000 Parkfield Ave
San Jose, CA 95129-3225
Phone (408) 252-7711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54939 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cyrus M. Akhbari D.M.D a Proffesional Dental Coorporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- San Jose, CA
- NPI 1366642670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497800155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 PARKFIELD AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951293225",
"telephone_number": "408-252-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 PARK AVE",
"address_2": "2",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262919",
"telephone_number": "408-971-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSEFZADEH-GHOOCHANI",
"first_name": "HENGAMEH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "54939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.