Mona Lisa Jabari

Primary specialty

DentistTaxonomy code 122300000X

License

107009 Issued in CA

Practice address

11936 Tivoli Park Row Unit 2
San Diego, CA 92128-6516

Phone

(858) 429-8855

NPI assigned

Sep 27, 2021

Last updated

Sep 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1033880182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11936 TIVOLI PARK ROW UNIT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921286516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11936 TIVOLI PARK ROW UNIT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921286516",
            "telephone_number": "858-429-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABARI",
        "first_name": "MONA",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107009",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• J. Richard Shih, DDS. Inc. (EZsmile Dental)
• Dilaram S Jabari
• Carol Jabasa, RDN
• Mary Ann Jabat
• Sawaira Jabbar
• Wiam Jabbar, DDS
• Siavash Jabbari, MD

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.