Kourosh Alexander Dastgheib, M.D., Inc
NPI 1922205202ActiveOrganization· Ophthalmology· Garden Grove, CA
Ophthalmology in Garden Grove, California, registered in NPPES in June 2007. The authorized official on file is Heather Renee Rowland, Billing/Credentialing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1922205202 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2007 |
| Last updated in NPPES | Jul 17, 2024 |
| Certified by provider | Jul 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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