KOUROSH ALEXANDER DASTGHEIB, M.D., INC
NPI 1922205202
Ophthalmology in Garden Grove, CA
NPI Status: Active since June 29, 2007
Contact Information
12665 GARDEN GROVE BLVD
STE 301
GARDEN GROVE, CA
ZIP 92843
Phone: (949) 652-6966
Fax: (714) 422-0960
- Organization
- Ophthalmology
- CLIA Number: 05D2235514
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-31-2026
About KOUROSH ALEXANDER DASTGHEIB, M.D., INC
This page provides the complete NPI Profile along with additional information for Kourosh Alexander Dastgheib, M.d., Inc, a provider established in Garden Grove, California operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1922205202 assigned on June 2007. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Heather Renee Rowland (Billing/credentialing Manager)
- NPI
- 1922205202
- Provider Name
- KOUROSH ALEXANDER DASTGHEIB, M.D., INC
- Entity Type
- Organization
- Location Address
- 12665 GARDEN GROVE BLVD STE 301 GARDEN GROVE, CA 92843
- Location Phone
- (949) 652-6966
- Location Fax
- (714) 422-0960
- Mailing Address
- 12665 GARDEN GROVE BLVD STE 301 GARDEN GROVE, CA 92843
- Mailing Phone
- (949) 652-6966
- Mailing Fax
- (714) 422-0960
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-29-2007
- Last Update Date
- 07-17-2024
- Code Navigator
Ophthalmologists like Kourosh Alexander Dastgheib, M.d., Inc specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Secondary Locations
- 520 Superior Ave Ste 335
Newport Beach, CA 92663
(949) 652-6966
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2235514
- Facility Type
- Physician Office
- Certificate Effective Date
- March 29, 2023
- Certificate Expiration Date
- May 31, 2026
- Laboratory Director
- BITA BAGHERI
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Kourosh Alexander Dastgheib, M.d., Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1922205202, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922205202, enumerated as an "organization" on June 29, 2007.
The provider is located at 12665 GARDEN GROVE BLVD STE 301 GARDEN GROVE, CA 92843 and the phone number is (949) 652-6966.
Ophthalmology with taxonomy code 207W00000X.
