Individual provider Active NPI

Pegah Naji, D.D.S.

  • Dentist
  • Mission Viejo, CA
National Provider Identifier
1003240680
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62826 Issued in CA
Practice address
23052 Alicia Pkwy Ste B2
Mission Viejo, CA 92692-1643
Phone
(949) 273-1900
Fax
(949) 273-1901
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62826 CA Primary

Addresses

Primary practice location

23052 Alicia Pkwy Ste B2
Mission Viejo, CA 92692-1643

Mailing address

23052 Alicia Pkwy Ste B2
Mission Viejo, CA 92692-1643
Phone (949) 273-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
62826CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pegah Naji DDS Inc. Dentist CurrentSince Feb 13, 2022 Accepting new patients
Mehran Javaherian DDS Inc. Dentist Past Accepting new patients
Mehran Javaherian DDS. Inc. Dentist Past Accepting new patients

Locations

23052 Alicia Pkwy
Ste B2
Mission Viejo, CA 92692
Phone (949) 273-1900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1003240680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23052 ALICIA PKWY STE B2",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921643",
            "telephone_number": "949-273-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23052 ALICIA PKWY STE B2",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921643",
            "telephone_number": "949-273-1900",
            "fax_number": "949-273-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJI",
        "first_name": "PEGAH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.