Individual provider Active NPI

Homayoon Bayrami, D.D.S

  • Dentist
  • Simi Valley, CA
National Provider Identifier
1922493212
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63876 Issued in CA
Practice address
4537 Alamo St Ste a
Simi Valley, CA 93063-6528
Phone
(805) 520-5830
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63876 CA Primary

Addresses

Primary practice location

4537 Alamo St Ste a
Simi Valley, CA 93063-6528

Mailing address

1525 Selby Ave Apt 1
Los Angeles, CA 90024-5796
Phone (310) 994-3342

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
I20161010001168 CA Order and Referring Only - DentistPractitioner - Dentist 2365730280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1922493212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 SELBY AVE APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245796",
            "telephone_number": "310-994-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4537 ALAMO ST STE A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930636528",
            "telephone_number": "805-520-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYRAMI",
        "first_name": "HOMAYOON",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.