Melissa Khurasany a Professional Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

64760 Issued in CA

Legal business name

MELISSA KHURASANY A PROFESSIONAL CORP

Practice address

150 W San Jose Ave
Claremont, CA 91711-5204

Phone

(909) 480-1705

NPI assigned

Jun 28, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Esmailzadeh Khurasany, DMD

Title

Owner

Phone

(949) 614-3651

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498608000000",
    "number": "1992226104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5059 STILLWATER WAY",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W SAN JOSE AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917115204",
            "telephone_number": "909-480-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA KHURASANY A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A",
        "authorized_official_last_name": "ESMAILZADEH KHURASANY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-614-3651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyjah Marie Medina-Morales
• Alicia Beatriz Medina, LMFT
• Yolanda Isabel Medina, LMFT
• Stacey Elizabeth Meisel, N.D.
• Ria Hermosilla Mejia, M.ED.,OTR/L
• Miles Meredith, DPT
• James Merrigan
• Judith Elyse Meyers-Abell, PH.D.
• MH Claremont Operating, LLC
• Michael a Sequeira MD Inc

• Dental Clinic/Center in Claremont, CA
• Providers in Claremont, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.