Organization Active NPI

Kourosh Rahimpour DDS, PC

  • General Practice Dentistry
  • Lake Forest, CA
National Provider Identifier
1821495482
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55917 Issued in CA
Legal business name
KOUROSH RAHIMPOUR DDS, PC
Practice address
23532 El Toro Rd
Suite 4
Lake Forest, CA 92630-4703
Phone
(949) 466-9616
NPI assigned
Nov 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Dr. Kourosh RahimpourNPI 1417194994
Title
President
Phone
(949) 466-9616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55917 CA Primary

Addresses

Primary practice location

23532 El Toro Rd
Suite 4
Lake Forest, CA 92630-4703

Mailing address

23532 El Toro Rd Ste 4
Lake Forest, CA 92630-4703
Phone (949) 837-6453

Other names 1

  • OC Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

23532 El Toro Rd
Ste 4
Lake Forest, CA 92630
Phone (949) 466-9616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1821495482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23532 EL TORO RD STE 4",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304703",
            "telephone_number": "949-837-6453",
            "fax_number": "949-837-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23532 EL TORO RD",
            "address_2": "SUITE 4",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304703",
            "telephone_number": "949-466-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUROSH RAHIMPOUR DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "RAHIMPOUR",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-466-9616",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OC Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.