Individual provider Active NPI

Ramtin Khaef, DMD

  • Periodontics
  • Cypress, CA
National Provider Identifier
1558596395
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
53809 Issued in CA
Practice address
9907 Walker St
Cypress, CA 90630
Phone
(714) 581-8585
NPI assigned
May 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 53809 CA
Periodontics 1223P0300X 53809 CA Primary

Addresses

Primary practice location

9907 Walker St
Cypress, CA 90630

Mailing address

27758 Santa Margarita Pkwy # 382
Mission Viejo, CA 92691-6709
Phone (949) 510-0225

Other practice location 1

1100 Wilshire Blvd
#2406
Los Angeles, CA 90017-1916
Phone (949) 510-0225

Other practice location 2

27725 Santa Margarita Pkwy Ste 242
Mission Viejo, CA 92691-6708
Phone (949) 510-0225

Other practice location 3

12271 La Mirada Blvd Ste 201
LA Mirada, CA 90638-1336
Phone (562) 445-3555

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

LicenseStateTypeSpecialty
53809CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Danoukh Dental Corp. Periodontics Past Accepting new patients
Haeri Professional Dental Corporation Past Accepting new patients
Ramtin Khaef DMD Dental Corp Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1558596395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27758 SANTA MARGARITA PKWY # 382",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916709",
            "telephone_number": "949-510-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9907 WALKER ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "90630",
            "telephone_number": "714-581-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Wilshire Blvd",
            "address_2": "#2406",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171916",
            "country_code": "US",
            "telephone_number": "949-510-0225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27725 Santa Margarita Pkwy Ste 242",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926916708",
            "country_code": "US",
            "telephone_number": "949-510-0225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12271 La Mirada Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "LA Mirada",
            "state": "CA",
            "postal_code": "906381336",
            "country_code": "US",
            "telephone_number": "562-445-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAEF",
        "first_name": "RAMTIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-22",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53809",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "53809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.