Mehran Rastegar-Lari, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MEHRAN RASTEGAR-LARI, D.D.S., INC.

Practice address

22391 Antonio Pkwy Ste J200
Rancho Santa Margarita, CA 92688-3957

Phone

(949) 888-8989

Fax

(949) 888-8807

NPI assigned

Jun 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mehran Rastegar-Lari, DDSNPI 1154380848

Title

President

Phone

(949) 878-8674

Specialties & licenses 1

Addresses

Other names 1

• Elite Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mehran Rastegar-Lari, D.D.S

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
  • NPI 1154380848
  NPD Authorized official
• Michael L Fonmin, DDS

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
  • NPI 1780795187
  NPD (past)

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1902641269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GOLF VIEW DR",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793802",
            "telephone_number": "949-878-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22391 ANTONIO PKWY STE J200",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883957",
            "telephone_number": "949-888-8989",
            "fax_number": "949-888-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRAN RASTEGAR-LARI, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "RASTEGAR-LARI",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-878-8674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon McCarter, M.A.
• Richard McCarthy, D.C.
• Jessica Elizabeth McCormick, PA
• Barbra A McDowell, PH.D,
• Taylor W Medeiros, PA-C
• Robert Edwin Meister, DDS, MS
• Trina Melancon, D.M.D.
• Melissa Pearson LLC
• Lindsey Melland, MS, CCC-SLP
• Memorialcare Medical Group, Inc.

• General Practice Dentistry in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, 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 Jun 28, 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.