Organization Active NPI

Mahsa Esfandiari, D.D.S., Dental Corp.

  • General Practice Dentistry
  • Los Gatos, CA
National Provider Identifier
1083250468
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MAHSA ESFANDIARI, D.D.S., DENTAL CORP.
Practice address
14465 S Bascom Ave Ste K
Los Gatos, CA 95032-2002
Phone
(408) 477-0674
NPI assigned
Nov 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Dr. Mahsa Esfandiari, DDS
Title
Ceo
Phone
(408) 477-0674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

14465 S Bascom Ave Ste K
Los Gatos, CA 95032-2002

Mailing address

1706 Morocco Dr
San Jose, CA 95125-5823
Phone (408) 477-0674

National Provider Directory

National Provider Directory

Locations

14465 S Bascom Ave
Ste K
Los Gatos, CA 95032
Phone (408) 477-0674

14465 S Bascom Ave
Los Gatos, CA 95032
Phone (408) 371-1070

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1083250468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 MOROCCO DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255823",
            "telephone_number": "408-477-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14465 S BASCOM AVE STE K",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322002",
            "telephone_number": "408-477-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHSA ESFANDIARI, D.D.S., DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "ESFANDIARI",
        "authorized_official_first_name": "MAHSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-477-0674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.