Kourosh Kalimi Yousefzadeh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

59404 Issued in CA

Practice address

5780 W Centinela Ave Apt 204
Los Angeles, CA 90045-8800

Phone

(516) 244-0477

NPI assigned

Jul 9, 2010

Last updated

Jan 31, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kourosh Yousefzadeh DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1861801243
  NPD Authorized official

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1841502663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 W CENTINELA AVE APT 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900458800",
            "telephone_number": "516-244-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 W CENTINELA AVE APT 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900458800",
            "telephone_number": "516-244-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEFZADEH",
        "first_name": "KOUROSH",
        "middle_name": "KALIMI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADA",
            "identifier": "446950646",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shay Shayesteh Yousefi, RN
• Shirin Hejazi Yousefi, O.D.
• Yousefpour Makabis DPM PC (Omega Podiatry)
• Abdollah Yousefzadeh
• Fereshteh Yousefzadeh, DDS, MSD, INC
• Farbod Youshei
• Anita Yousoofian-Adams, LCSW
• Hala Ezzat Youssef, P.A.
• Jacqueline Youssef, DC
• Jessica Youssef, AMFT

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.