Active NPI
Kooroush Baradaran Hashemi I
- Dentist
- Camarillo, CA
National Provider Identifier
1740458041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56804
- Practice address
- 5842 Firebird CT
Camarillo, CA 93012-4313 - Phone
- (805) 388-7994
- NPI assigned
- Feb 20, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 56804 | CA | Primary |
Addresses
Primary practice location
5842 Firebird CT
Camarillo, CA 93012-4313
Mailing address
5842 Firebird CT
Camarillo, CA 93012-4313
Phone (805) 388-7994
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
Interoperability endpoints
- khashemi@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1740458041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5842 FIREBIRD CT",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930124313",
"telephone_number": "805-388-7994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5842 FIREBIRD CT",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930124313",
"telephone_number": "805-388-7994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASHEMI",
"first_name": "KOOROUSH",
"middle_name": "BARADARAN",
"name_prefix": "Dr.",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.