Individual provider Active NPI

Parastoo Salehi, DDS

  • Dentist
  • Huntington Beach, CA
National Provider Identifier
1881028058
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62814 Issued in CA
Practice address
6552 Bolsa Ave Ste Q
Huntington Beach, CA 92647-2656
Phone
(310) 402-4623
NPI assigned
Aug 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 62814 CA
Dentist 122300000X 62814 CA Primary

Addresses

Primary practice location

6552 Bolsa Ave Ste Q
Huntington Beach, CA 92647-2656

Mailing address

277 Novel
Irvine, CA 92618-1792
Phone (310) 402-4623

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160318000354 CA Order and Referring Only - DentistPractitioner - Dentist 5597062513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62814CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1881028058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 NOVEL",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181792",
            "telephone_number": "310-402-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6552 BOLSA AVE STE Q",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472656",
            "telephone_number": "310-402-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEHI",
        "first_name": "PARASTOO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62814",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.