Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHAYAN RAHIMI
NPI 1093409864
Dentist - General Practice in San Diego, CA

Active since June 05, 2023
4073 PULITZER PL APT 2, SAN DIEGO, CA 92122(858) 922-9975 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2026, Jun 5, 2023 (2 updates tracked since 2023).

About Shayan Rahimi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAYAN RAHIMI (NPI 1093409864) is an individual general practice provider in San Diego, California, licensed in California (113588) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1093409864
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSHAYAN RAHIMI
Location Address4073 PULITZER PL APT 2San Diego, CA 92122-4218
Mailing Address4073 Pulitzer Pl Apt 2San Diego, CA 92122-4218 · (858) 922-9975
Sole ProprietorNo
Enumeration DateJune 5, 2023
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
NPI 1093409864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 113588
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4073 PULITZER PL APT 2, San Diego, CA 92122

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Vocational Nurse
4073 PULITZER PL APT 2
SAN DIEGO, CA 92122

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 Shayan Rahimi's NPI number?

The NPI number for Shayan Rahimi is 1093409864. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Shayan Rahimi located?

Shayan Rahimi practices at 4073 Pulitzer Pl Apt 2, San Diego, CA 92122. The listed phone number is (858) 922-9975.

What is Shayan Rahimi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shayan Rahimi was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.