Individual provider Active NPI

Mandana Anoosheh Zomorrodi, DDS

  • Dentist
  • Newbury Park, CA
National Provider Identifier
1891968772
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35810 Issued in CA
Practice address
3245 Old Conejo Rd
Newbury Park, CA 91320-2152
Phone
(805) 498-4400
Fax
(805) 498-3510
NPI assigned
Apr 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35810 CA Primary

Addresses

Primary practice location

3245 Old Conejo Rd
Newbury Park, CA 91320-2152

Mailing address

3245 Old Conejo Rd
Newbury Park, CA 91320-2152
Phone (805) 498-4400

Other names 1

  • Dr. Donna Anoosheh Professional name

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

State licenses

LicenseStateTypeSpecialty
35810CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1891968772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 OLD CONEJO RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202152",
            "telephone_number": "805-498-4400",
            "fax_number": "805-498-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 OLD CONEJO RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202152",
            "telephone_number": "805-498-4400",
            "fax_number": "805-498-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOMORRODI",
        "first_name": "MANDANA",
        "middle_name": "ANOOSHEH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "ANOOSHEH",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.