KOUROSH DASTGHEIB MD NPI 1578523593

NPI Information

  • NPI: 1578523593
  • Provider Name: KOUROSH DASTGHEIB, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12665 GARDEN GROVE BLVD STE 301
    GARDEN GROVE, CA
    ZIP 92843
  • Phone: (909) 581-6732

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NPI Details

Kourosh Dastgheib, MD is an ophthalmology in Garden Grove, CA with 36 years of experience. The provider is 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. Kourosh Dastgheib, MD NPI is 1578523593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12665 GARDEN GROVE BLVD STE 301
GARDEN GROVE, CA
ZIP 92843-917
Phone: (909) 581-6732
Fax: (909) 581-6737

The NPI 1578523593 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of growth of retina using a laser (HCPCS:67210)
  • Extended exam of the back part of the eye with optic nerve drawing (HCPCS:92202)
  • Imaging of optic nerve (HCPCS:92133)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Closure of tear duct opening using plug (HCPCS:68761)
  • Imaging of retina (HCPCS:92134)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Photography of the retina (HCPCS:92250)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • New patient problem focused exam of visual system (HCPCS:92002)
  • Ct scan of cornea (HCPCS:92025)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 3/24/2006 and was last updated on 12/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyA85637CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100967496MEDICAIDPENNSYLVANIA
204531539OTHERECFMG

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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