Touraj Khalilzadeh, DMD, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

A121945 Issued in CA

Practice address

1981 N Broadway
Suite 180
Walnut Creek, CA 94596-3852

Phone

(925) 478-4583

Fax

(925) 357-3899

NPI assigned

Feb 15, 2007

Last updated

Feb 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1578606844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 LICK AVE",
            "address_2": "#223",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951103248",
            "telephone_number": "443-527-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 N BROADWAY",
            "address_2": "SUITE 180",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963852",
            "telephone_number": "925-478-4583",
            "fax_number": "925-357-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALILZADEH",
        "first_name": "TOURAJ",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "A121945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Mark Keyashian, DDS
• Brandy Keyes
• Zanonda Keys, B.A.
• Gina Keyser
• Maryam Ezadi Khakpour
• Harimandir Kaur Khalsa
• Anna Pilar Kham
• Aleena Khan, NP-C
• Imran Saeed Khan, MD
• Laiba Khan

• Oral and Maxillofacial Surgery (Dentist) in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.