Anoosheh Mazhari-Khorshidian, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59142 Issued in CA

Practice address

4968 Booth Cir Ste 109
Irvine, CA 92604-3370

Phone

(949) 825-5354

NPI assigned

Jul 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1881857126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4968 BOOTH CIR STE 109",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043370",
            "telephone_number": "949-825-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4968 BOOTH CIR STE 109",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043370",
            "telephone_number": "949-825-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZHARI-KHORSHIDIAN",
        "first_name": "ANOOSHEH",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019836",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liset Mayoral
• Carolina Mayorga
• Jacqueline Leeana Mayorga
• Adriana Maze, RBT
• Mazhar Medical Group Inc
• Alexandra Mazza, PT, DPT, CMT
• Cassandra Mazzoni, PMHNP
• Lucas McAbee
• Catherine Marie McAdams-Ortiz, MSN, A/GNP
• Ashley McBeth, BCBA

• General Practice Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.