Individual provider Active NPI

Ramyar Elyassian, DDS

  • Periodontics
  • San Juan Capistrano, CA
National Provider Identifier
1699965079
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
49877 Issued in CA
Practice address
27231 Ortega Hwy
Suite a
San Juan Capistrano, CA 92675-6731
Phone
(949) 487-0800
Fax
(949) 493-0186
NPI assigned
Jul 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 49877 CA Primary

Addresses

Primary practice location

27231 Ortega Hwy
Suite a
San Juan Capistrano, CA 92675-6731

Mailing address

4421 Sandburg Way
Suite a
Irvine, CA 92612-2731
Phone (310) 993-9192

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
49877CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Nader D. Ghiassi DDS Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1699965079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 SANDBURG WAY",
            "address_2": "SUITE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122731",
            "telephone_number": "310-993-9192",
            "fax_number": "949-861-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27231 ORTEGA HWY",
            "address_2": "SUITE A",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756731",
            "telephone_number": "949-487-0800",
            "fax_number": "949-493-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELYASSIAN",
        "first_name": "RAMYAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "49877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.