DR. KOUROSH DIANATYAZDI DDS
NPI 1033205026
Dentist - General Practice in Palm Desert, CA
About Dr. Kourosh Dianatyazdi Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KOUROSH DIANATYAZDI DDS (NPI 1033205026) is an individual general practice provider in Palm Desert, California, licensed in California (50457) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kourosh Dianatyazdi Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PALM DESERT, CA 92211
PALM DESERT, CA 92211
PALM DESERT, CA 92211
PALM DESERT, CA 92211
PALM DESERT, CA 92211
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kourosh Dianatyazdi's NPI number?
The NPI number for Kourosh Dianatyazdi is 1033205026. It was assigned to this individual provider in the NPPES registry on October 5, 2006.
Where is Kourosh Dianatyazdi located?
Kourosh Dianatyazdi practices at 77564 Country Club Dr Suite 350, Palm Desert, CA 92211. The listed phone number is (760) 772-7082.
What is Kourosh Dianatyazdi's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kourosh Dianatyazdi enrolled in Medicare?
Yes. Kourosh Dianatyazdi is registered in the Medicare PECOS enrollment system.
What insurance does Kourosh Dianatyazdi accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Kourosh Dianatyazdi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kourosh Dianatyazdi was last updated on April 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Kourosh Dianatyazdi, DDS · NPI 1033205026
General Practice provider in Palm Desert, California. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1033205026 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 50457 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 77564 COUNTRY CLUB DR, SUITE 350, Palm Desert, CA 92211-0484
- **Phone:** (760) 772-7082 · **Fax:** (760) 772-7085
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** April 14, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1033205026) · Data from the CMS NPPES public registry.