Individual provider Active NPI

Nooshin Noghreian, DDS,MS

  • Endodontics
  • Torrance, CA
National Provider Identifier
1659599108
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
42751 Issued in CA
Practice address
3400 Lomita Blvd
Suite 502
Torrance, CA 90505-4909
Phone
(310) 325-1243
Fax
(310) 325-9189
NPI assigned
Apr 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 42751 CA Primary

Addresses

Primary practice location

3400 Lomita Blvd
Suite 502
Torrance, CA 90505-4909

Mailing address

1011 N Bundy Dr
Los Angeles, CA 90049-1510
Phone (310) 488-4774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160412000532 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4385942184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659599108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N BUNDY DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491510",
            "telephone_number": "310-488-4774",
            "fax_number": "310-440-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LOMITA BLVD",
            "address_2": "SUITE 502",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054909",
            "telephone_number": "310-325-1243",
            "fax_number": "310-325-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGHREIAN",
        "first_name": "NOOSHIN",
        "credential": "DDS,MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "42751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.