Individual provider Active NPI

Ramin Goshtasbi, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1699975060
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49756 Issued in CA
Practice address
11835 Carmel Mountain Rd Ste 1306
San Diego, CA 92128-4609
Phone
(858) 271-1010
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 49756 CA Primary

Addresses

Primary practice location

11835 Carmel Mountain Rd Ste 1306
San Diego, CA 92128-4609

Mailing address

11835 Carmel Mountain Rd Ste 1306
San Diego, CA 92128-4609
Phone (858) 271-1010

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161101002538 CA Order and Referring Only - Other (Non-Physician) 8820376452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
49756CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
R Goshtasbi, DDS, a Professional Dental Corp CurrentSince Aug 13, 2023 Accepting new patients

Locations

11835 Carmel Mountain Rd
Ste 1306
San Diego, CA 92128
Phone (858) 295-0186

9999 Mira Mesa Blvd
Ste 105
San Diego, CA 92131
Phone (858) 271-1010

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1699975060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 CARMEL MOUNTAIN RD STE 1306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284609",
            "telephone_number": "858-271-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 CARMEL MOUNTAIN RD STE 1306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284609",
            "telephone_number": "858-271-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSHTASBI",
        "first_name": "RAMIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.