Organization Active NPI

Mahin N Jahromi Dental Group Inc

  • Dentist
  • Fontana, CA
National Provider Identifier
1073128039
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MAHIN N JAHROMI DENTAL GROUP INC
Practice address
13677 Foothill Blvd BLDG Suitem
Fontana, CA 92335-0505
Phone
(909) 330-2273
Fax
(909) 330-2144
NPI assigned
Sep 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Mahin Nosrati, DDS
Title
Dentist
Phone
(909) 827-6407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

13677 Foothill Blvd BLDG Suitem
Fontana, CA 92335-0505

Mailing address

38985 Cherry Point LN
Murrieta, CA 92563-8814
Phone (909) 827-6407

National Provider Directory

National Provider Directory

Locations

13677 Foothill Blvd
Bldg Suitem
Fontana, CA 92335
Phone (909) 330-2273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1073128039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38985 CHERRY POINT LN",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925638814",
            "telephone_number": "909-827-6407",
            "fax_number": "909-330-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13677 FOOTHILL BLVD BLDG SUITEM",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923350505",
            "telephone_number": "909-330-2273",
            "fax_number": "909-330-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHIN N JAHROMI DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "NOSRATI",
        "authorized_official_first_name": "MAHIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-827-6407",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.