Shirin Reza Soltani

Primary specialty

DentistTaxonomy code 122300000X

License

56107 Issued in CA

Practice address

12824 Amber Hill LN
Poway, CA 92064-3702

Phone

(858) 748-6325

NPI assigned

Aug 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1740472828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12824 AMBER HILL LN",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920643702",
            "telephone_number": "858-748-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12824 AMBER HILL LN",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920643702",
            "telephone_number": "858-748-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZA SOLTANI",
        "first_name": "SHIRIN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Reyes Solis
• Diego Reyes-Rubio
• Kristel Marie Saraspi Reyes
• Ava Reynolds
• Florianne Reynoso, C-HEALTHCOACH
• Rafik Riad, DDS
• Sonia Ricca
• Angel S Rico
• Craig Rinehart
• Rishu Gupta MD Inc (SD Skin)

• Dentist in Poway, CA
• Providers in Poway, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.