Organization Active NPI

Pedram N Soleimani DDS Inc.

  • Health Maintenance Organization
  • Santa Clarita, CA
National Provider Identifier
1639590433
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
62127 Issued in CA
Legal business name
PEDRAM N SOLEIMANI DDS INC.
Doing business as
Aesthetic Dental & Specialty Center
Practice address
24264 Main St
Santa Clarita, CA 91321-2911
Phone
(661) 290-2825
NPI assigned
Dec 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Dr. Pedram Soleimani, DDSNPI 1053624999
Title
Dentist
Phone
(661) 290-2825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 62127 CA Primary

Addresses

Primary practice location

24264 Main St
Santa Clarita, CA 91321-2911

Mailing address

24264 Main Street
Santa Clarita, CA 91321
Phone (661) 290-2825

Other names 1

  • Aesthetic Dental & Specialty Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210902001895 CA Part B Supplier - Clinic/Group Practice 7517363344 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Clarita, CA

National Provider Directory

National Provider Directory

Locations

24264 Main St
Santa Clarita, CA 91321
Phone (310) 985-2000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1639590433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24264 MAIN STREET",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-290-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24264 MAIN ST",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212911",
            "telephone_number": "661-290-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRAM N SOLEIMANI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "SOLEIMANI",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "661-290-2825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "62127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Dental & Specialty Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aesthetic Dental & Specialty Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.