Active NPI
Mehran Ron Mahmoudian, D.D.S.
- General Practice Dentistry
- Laguna Woods, CA
National Provider Identifier
1962619692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 51969
- Practice address
- 24310 Moulton Pkwy Ste C1
Laguna Woods, CA 92637-3306 - Phone
- (949) 859-3988
- Fax
- (949) 859-3578
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 51969 | CA | Primary |
Addresses
Primary practice location
24310 Moulton Pkwy Ste C1
Laguna Woods, CA 92637-3306
Mailing address
17 Via Falerno
Aliso Viejo, CA 92656-1617
Phone (949) 830-1999
Other names 1
- Mehran Mahmoudian
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
| License | State | Type | Specialty |
|---|---|---|---|
| 51969 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 7 Days Dental | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962619692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 VIA FALERNO",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926561617",
"telephone_number": "949-830-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24310 MOULTON PKWY STE C1",
"city": "LAGUNA WOODS",
"state": "CA",
"postal_code": "926373306",
"telephone_number": "949-859-3988",
"fax_number": "949-859-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOUDIAN",
"first_name": "MEHRAN",
"middle_name": "RON",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "51969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEHRAN",
"last_name": "MAHMOUDIAN",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Laguna Woods, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.