Active NPI
Nooshin Ghayoumi, D.D.S.
- Periodontics
- Irvine, CA
National Provider Identifier
1689876799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 47476
- Practice address
- 113 Waterworks Way
Suite 255
Irvine, CA 92618-3167 - Phone
- (949) 502-8844
- Fax
- (949) 502-4299
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 47476 | CA | Primary |
Addresses
Primary practice location
113 Waterworks Way
Suite 255
Irvine, CA 92618-3167
Mailing address
113 Waterworks Way
Suite 255
Irvine, CA 92618-3167
Phone (949) 502-8844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47476 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1689876799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 WATERWORKS WAY",
"address_2": "SUITE 255",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183167",
"telephone_number": "949-502-8844",
"fax_number": "949-502-4299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 WATERWORKS WAY",
"address_2": "SUITE 255",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183167",
"telephone_number": "949-502-8844",
"fax_number": "949-502-4299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAYOUMI",
"first_name": "NOOSHIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "47476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.