NPIMap

Individual provider Active NPI

Hooman Zarrinkelk, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Ventura, CA
National Provider Identifier
1740304534
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
41811 Issued in CA
Practice address
5200 Telegraph Rd Ste B
Ventura, CA 93003-4185
Phone
(805) 648-5121
Fax
(805) 648-3670
NPI assigned
Mar 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 41811 CA Primary

Addresses

Primary practice location

5200 Telegraph Rd Ste B
Ventura, CA 93003-4185

Mailing address

5200 Telegraph Rd Ste B
Ventura, CA 93003-4185
Phone (805) 648-5121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 12, 2024 through Jan 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41811CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Zarrinkelk and Siavash Dental Partnership Oral and Maxillofacial Surgery Current Accepting new patients
Zarrinkelk-Siavash-Coppelson Dental Partnership Oral and Maxillofacial Surgery Current Accepting new patients
Lane J Lopez DDS & Hooman M Zarrinkelk DDS Apc Oral and Maxillofacial Surgery Past Accepting new patients
Community Memorial Health System Past Accepting new patients
County of Ventura Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

5200 Telegraph Rd
Ste B
Ventura, CA 93003
Phone (805) 648-5121

Organizations & group practices 6

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": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1740304534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 TELEGRAPH RD STE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034185",
            "telephone_number": "805-648-5121",
            "fax_number": "805-648-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 TELEGRAPH RD STE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034185",
            "telephone_number": "805-648-5121",
            "fax_number": "805-648-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARRINKELK",
        "first_name": "HOOMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-18",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "41811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.