NPIMap

Organization Active NPI

Reza Kasiri

  • Exclusive Provider Organization
  • San Diego, CA
National Provider Identifier
1992044036
Registry record updated Feb 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
36309 Issued in CA
Legal business name
REZA KASIRI
Practice address
6755 Mira Mesa Blvd Ste 218
San Diego, CA 92121-4311
Phone
(858) 552-0052
NPI assigned
Feb 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2013

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

Authorized official

Name
Reza Kasiri, DDSNPI 1164525697
Title
Owner
Phone
(858) 552-0052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 36309 CA Primary

Addresses

Primary practice location

6755 Mira Mesa Blvd Ste 218
San Diego, CA 92121-4311

Mailing address

6755 Mira Mesa Blvd Ste 218
San Diego, CA 92121-4311
Phone (858) 552-0052

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1360368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360368000000",
    "number": "1992044036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 MIRA MESA BLVD STE 218",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214311",
            "telephone_number": "858-552-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 MIRA MESA BLVD STE 218",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214311",
            "telephone_number": "858-552-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA KASIRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-09",
        "last_updated": "2013-02-09",
        "status": "A",
        "authorized_official_last_name": "KASIRI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-552-0052",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "36309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2013; 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.