Hamed Koushyar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

103763 Issued in CA

Practice address

32475 Clinton Keith Rd Ste 115
Wildomar, CA 92595-8664

Phone

(951) 609-0445

NPI assigned

Jun 10, 2019

Last updated

Feb 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Velk Family Dentistry

  • Dentist
  • Wildomar, CA
  • NPI 1821405218
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1619536919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32475 CLINTON KEITH RD STE 115",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925958664",
            "telephone_number": "951-609-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32475 CLINTON KEITH RD STE 115",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925958664",
            "telephone_number": "951-609-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUSHYAR",
        "first_name": "HAMED",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kishore K Vasant Medical Group Inc.
• Lorena Klear, BCBA,BA,M.A.
• Sierra Koch
• Karen Lynn Koskinen
• Zeljka Helena Kostich, M.D
• Harlynn La Cava
• Peter Lac, M.D.
• Kristin Ladd
• Jennifer Landis, PHARM.D.
• Tiana Lane

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.