Bahareh Goshayeshi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS102393 Issued in CA

Practice address

3221 Carter Ave Unit 367
Marina del Rey, CA 90292-4963

Phone

(310) 706-8566

NPI assigned

Mar 20, 2014

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bahareh Goshayeshi DDS Inc

  • General Practice Dentistry
  • Torrance, CA
  • NPI 1275249138
  NPD Authorized official

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1801213475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 CARTER AVE UNIT 367",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902924963",
            "telephone_number": "310-706-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 CARTER AVE UNIT 367",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902924963",
            "telephone_number": "310-706-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSHAYESHI",
        "first_name": "BAHAREH",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS102393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmine Gonzalez
• Morgan Boker-Porpora Goodstadt, MS, RD, CDN, LDN
• Chanel Gordon
• Linda Carol Gorin-Sibner, PH.D.
• Michael Gorniowsky, M.D.
• Julie Gould, M.D.
• Carolynn Grainger
• Frances B Gramaje, P.T.
• Grant D. Shifflett, MD Inc
• Grant Stevens, M.D., Inc

• General Practice Dentistry in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.