Individual provider Active NPI

Sachi Aria Mehrotra, DDS

  • Orofacial Pain Dentistry
  • San Diego, CA
National Provider Identifier
1093356016
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
License
DDS104403 Issued in CA
Practice address
5830 Oberlin Dr Ste 202
San Diego, CA 92121-3754
Phone
(760) 436-6365
Fax
(760) 436-5123
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X DDS104403 CA
Oral Medicine Dentistry 125Q00000X DDS104403 CA
Orofacial Pain Dentistry 1223X2210X DDS104403 CA Primary

Addresses

Primary practice location

5830 Oberlin Dr Ste 202
San Diego, CA 92121-3754

Mailing address

2095 W Vista Way Ste 218
Vista, CA 92083-6029
Phone (760) 436-6365

Other practice location 1

2095 W Vista Way Ste 218
Vista, CA 92083-6029
Phone (760) 436-6365

Other practice location 2

11980 San Vicente Blvd Ste 814
Los Angeles, CA 90049-6606
Phone (760) 436-6365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210816001802 CA Practitioner - Dentist 5092118638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Univ of Calif, Los Angeles School of Dentistry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley a Eli Dental CorporationGroup PAC ID 1557682804, 5 clinicians

Practice addresses (Care Compare)

2095 W Vista Way
Suite 218
Vista, CA 92083-6029
Phone (760) 436-6365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS104403CAMDCustomized Equipment (DME)

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Treatment Partners CurrentSince Jul 1, 2021 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

4403 Manchester Ave
Ste 101
Encinitas, CA 92024
Phone (760) 436-6365

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sachi.mehrotra.1@15735.direct.athenahealth.com

Organizations & group practices 3

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1093356016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 W VISTA WAY STE 218",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836029",
            "telephone_number": "760-436-6365",
            "fax_number": "760-436-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 OBERLIN DR STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213754",
            "telephone_number": "760-436-6365",
            "fax_number": "760-436-5123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2095 W Vista Way Ste 218",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920836029",
            "country_code": "US",
            "telephone_number": "760-436-6365",
            "fax_number": "760-436-5123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11980 San Vicente Blvd Ste 814",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900496606",
            "country_code": "US",
            "telephone_number": "760-436-6365",
            "fax_number": "760-436-5123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHROTRA",
        "first_name": "SACHI",
        "middle_name": "ARIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "DDS104403",
            "primary": false
        },
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "CA",
            "license": "DDS104403",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "CA",
            "license": "DDS104403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.