Individual provider Active NPI

Omid Haroonian, DDS

  • Dentist
  • Newport Beach, CA
National Provider Identifier
1780702936
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54149 Issued in CA
Practice address
3920 Birch St Ste 101
Newport Beach, CA 92660-2252
Phone
(310) 382-0633
Fax
(949) 646-2220
NPI assigned
Mar 27, 2007
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54149 CA Primary

Addresses

Primary practice location

3920 Birch St Ste 101
Newport Beach, CA 92660-2252

Mailing address

3920 Birch St Ste 101
Newport Beach, CA 92660-2252
Phone (310) 382-0633

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
I20151030002087 CA Practitioner - Oral Surgery 5799006094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frank C Raymer DDS Inc Dentist PastSince Feb 15, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1780702936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 BIRCH ST STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602252",
            "telephone_number": "310-382-0633",
            "fax_number": "949-646-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 BIRCH ST STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602252",
            "telephone_number": "310-382-0633",
            "fax_number": "949-646-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAROONIAN",
        "first_name": "OMID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.