Individual provider Active NPI

Kamran William Pirastehfar, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1700262987
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64913 Issued in CA
Practice address
10405 Tierrasanta Blvd
San Diego, CA 92124-2603
Phone
(858) 492-9300
NPI assigned
Aug 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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 64913 CA Primary

Addresses

Primary practice location

10405 Tierrasanta Blvd
San Diego, CA 92124-2603

Mailing address

10405 Tierrasanta Blvd
San Diego, CA 92124-2603

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
I20161020001378 CA Order and Referring Only - DentistPractitioner - Dentist 8729366042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64913CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Afshar and Habashi Dental Corporation General Practice 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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1700262987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10405 TIERRASANTA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10405 TIERRASANTA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242603",
            "telephone_number": "858-492-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRASTEHFAR",
        "first_name": "KAMRAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.