Payam Pezeshkian D.D.S. Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

51987 Issued in CA

Legal business name

PAYAM PEZESHKIAN D.D.S. INC.

Practice address

1161 Hidden Valley Pkwy
Suite 106
Norco, CA 92860-3916

Phone

(949) 351-7607

NPI assigned

Jul 23, 2007

Last updated

Jul 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Payam Pezeshkian Pezeshkian

Title

Owner

Phone

(949) 351-7607

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1609076116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 HIDDEN VALLEY PKWY",
            "address_2": "SUITE 106",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603916",
            "telephone_number": "949-351-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 HIDDEN VALLEY PKWY",
            "address_2": "SUITE 106",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603916",
            "telephone_number": "949-351-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYAM PEZESHKIAN D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "PEZESHKIAN",
        "authorized_official_first_name": "PAYAM PEZESHKIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-351-7607",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Parres, PSY.D
• Honesto C Pascual, M.D.
• Kamal A Patel, PHARMD
• Shreya Patel, M.S.
• Maleeah Patrick
• Paige Pederson
• Cecilia Pena
• Citlaly Stephany Perez-Llera
• Divina Elise Perez
• Jessica L Perez, OTA5295

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.