Organization Active NPI

Masih Rezaei Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Laguna Hills, CA
National Provider Identifier
1861230583
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
MASIH REZAEI DENTAL CORPORATION
Practice address
24022 Calle de la Plata Ste 450
Laguna Hills, CA 92653-3631
Phone
(909) 374-1678
NPI assigned
Jul 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Dr. Masih Rezaei, DDSNPI 1205448149
Title
Ceo
Phone
(909) 374-1678

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

24022 Calle de la Plata Ste 450
Laguna Hills, CA 92653-3631

Mailing address

22 Glenhurst
Irvine, CA 92604-3727
Phone (909) 374-1678

Other names 1

  • Masih Rezaei Dental Corporation Doing business as

National Provider Directory

National Provider Directory

Locations

24022 Calle de la Plata
Ste 450
Laguna Hills, CA 92653
Phone (949) 830-0074

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": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1861230583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 GLENHURST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043727",
            "telephone_number": "909-374-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24022 CALLE DE LA PLATA STE 450",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533631",
            "telephone_number": "909-374-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASIH REZAEI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "REZAEI",
        "authorized_official_first_name": "MASIH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-374-1678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masih Rezaei Dental Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.