NPIMap

Organization Active NPI

Mohammad Abul Fielat DDS Inc

  • Pediatric Dentistry
  • Temecula, CA
National Provider Identifier
1073748174
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D43302 Issued in CA
Legal business name
MOHAMMAD ABUL FIELAT DDS INC
Practice address
40515 Winchester Rd
Temecula, CA 92591
Phone
(951) 676-4840
Fax
(951) 676-4871
NPI assigned
May 19, 2009
Last updated
Jun 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Mr. Mohamad Abul Fielat, D.D.S
Title
Owner
Phone
(951) 688-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D43302 CA Primary

Addresses

Primary practice location

40515 Winchester Rd
Temecula, CA 92591

Mailing address

40515 Winchester Rd
Temecula, CA 92591
Phone (951) 676-4840

Other identifiers 1

IdentifierTypeStateIssuer
1063532802MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Mohammad Abul-Fielat DDS Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

40515 Winchester Rd
Temecula, CA 92591
Phone (951) 676-4840

41593 Winchester Rd
Ste 220
Temecula, CA 92590
Phone (951) 676-4840

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1073748174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40515 WINCHESTER RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92591",
            "telephone_number": "951-676-4840",
            "fax_number": "951-676-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40515 WINCHESTER RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92591",
            "telephone_number": "951-676-4840",
            "fax_number": "951-676-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD ABUL FIELAT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "FIELAT",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "ABUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-688-5437",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "D43302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063532802",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

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