Active NPI
Ramtin Shirazimohammadi
- General Practice Dentistry
- Corona, CA
National Provider Identifier
1891487781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 113231
- Practice address
- 460 N McKinley St
Corona, CA 92879-3405 - Phone
- (951) 577-0102
- NPI assigned
- May 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 113231 | CA | Primary |
Addresses
Primary practice location
460 N McKinley St
Corona, CA 92879-3405
Mailing address
25476 Mosswood Way
Lake Forest, CA 92630-7401
Phone (310) 948-9147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1891487781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25476 MOSSWOOD WAY",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926307401",
"telephone_number": "310-948-9147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 N MCKINLEY ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928793405",
"telephone_number": "951-577-0102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRAZIMOHAMMADI",
"first_name": "RAMTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-22",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "113231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.