Individual provider Active NPI

Gholam-Reza Zarrinnegar, DDS

  • General Practice Dentistry
  • Reseda, CA
National Provider Identifier
1962565119
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53492 Issued in CA
Practice address
7033 Reseda Blvd.
Reseda, CA 91335
Phone
(818) 344-0177
Fax
(818) 344-3386
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 53492 CA Primary

Addresses

Primary practice location

7033 Reseda Blvd.
Reseda, CA 91335

Mailing address

19321 Victory Blvd
Suite 357
Tarzana, CA 91335-6302
Phone (818) 344-0177

Other practice location 1

2486 Erringer Road
Simi Valley, CA 93065
Phone (805) 520-0100

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
53492CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gholam-Reza Zarrinnegar DDS Inc Current Accepting new patients
Zarrinnegar Dental Corporation General Practice Current Accepting new patients
Mattbahardds Inc General Practice Past Accepting new patients

Locations

2486 Erringer Rd
Simi Valley, CA 93065
Phone (805) 520-0100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1962565119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19321 VICTORY BLVD",
            "address_2": "SUITE 357",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913356302",
            "telephone_number": "818-344-0177",
            "fax_number": "818-344-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 RESEDA BLVD.",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-344-0177",
            "fax_number": "818-344-3386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2486 Erringer Road",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "93065",
            "country_code": "US",
            "telephone_number": "805-520-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZARRINNEGAR",
        "first_name": "GHOLAM-REZA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.