Active NPI
Mahsa Esfandiari, D.D.S., Dental Corp.
- General Practice Dentistry
- Los Gatos, CA
National Provider Identifier
1083250468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.