Individual provider Active NPI

Shanel Shireen Kashef

  • Dentist
  • Manhattan Beach, CA
National Provider Identifier
1063228377
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
110707 Issued in CA
Practice address
1590 Rosecrans Ave Ste N
Manhattan Beach, CA 90266-3723
Phone
(310) 643-6004
NPI assigned
Dec 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 110707 CA Primary

Addresses

Primary practice location

1590 Rosecrans Ave Ste N
Manhattan Beach, CA 90266-3723

Mailing address

1206 Woodborough Rd
Lafayette, CA 94549-2634
Phone (510) 501-4454

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
110707CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Don Ramos Mungcal DDS a Professional Corporation Dentist CurrentSince Sep 28, 2025 Accepting new patients

Locations

1590 Rosecrans Ave
Ste N
Manhattan Beach, CA 90266
Phone (310) 536-9617

Organizations & group practices 1

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": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1063228377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 WOODBOROUGH RD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945492634",
            "telephone_number": "510-501-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 ROSECRANS AVE STE N",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663723",
            "telephone_number": "310-643-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHEF",
        "first_name": "SHANEL",
        "middle_name": "SHIREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.