Katayoun Massoudi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

B41644 Issued in CA

Practice address

30092 Santa Margarita Parkway
Ste K
Rancho Santa Margarita, CA 92688

Phone

(949) 888-0086

Fax

(949) 888-0095

NPI assigned

Sep 28, 2006

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

State licenses

Practice roles

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.

• Katayoun Massoudi, DDS Incorporated

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
  • NPI 1285864223
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1831280288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30092 SANTA MARGARITA PARKWAY",
            "address_2": "STE K",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "92688",
            "telephone_number": "949-888-0086",
            "fax_number": "949-888-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30092 SANTA MARGARITA PARKWAY",
            "address_2": "STE K",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "92688",
            "telephone_number": "949-888-0086",
            "fax_number": "949-888-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOUDI",
        "first_name": "KATAYOUN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "B41644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marque Medical Clinic, Inc.
• Nancy Gabriela Marroquin Alvarado
• Marsha Granese, MD, Inc.
• Jessica Martin
• Mary Hawkins Chiropractic Corporation
• Julie Mayer Norvilas, M.F.T., M.A.
• Alexis McAnally
• Cathy McCann, CNTP
• Shannon McCarter, M.A.
• Richard McCarthy, D.C.

• Dentist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.