Maryam Doroudian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

B30783 Issued in CA

Practice address

1804 San Miguel Dr
Walnut Creek, CA 94596

Phone

(925) 262-1162

Fax

(925) 935-3874

NPI assigned

Jul 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHFCDD

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.

• Hakimjavadi DDS Inc

  • General Practice Dentistry
  • Walnut Creek, CA
  • NPI 1659932168
  NPD (past)
• Irina V Kolomey D O

  • Internal Medicine Physician
  • Walnut Creek, CA
  • NPI 1821779851
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821018722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 SAN MIGUEL DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "925-262-1162",
            "fax_number": "925-935-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 SAN MIGUEL DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "925-262-1162",
            "fax_number": "925-935-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROUDIAN",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B30783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Donnelly, RN, CNM, WHNP
• Claire Donovan, CNM
• Vernon Charles Dooley
• Meena Marie Dopp, MD
• Veselina Dorado
• Dominique Dortch, RDN
• Elisabeth Anne Dosa, LCSW PSYD
• Amish Bipin Doshi, M.D.
• Frances M. Dossetor, MD
• Jessica Dotson

• General Practice Dentistry in Walnut Creek, CA
• Providers in Walnut Creek, 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 Jul 8, 2007; 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.