Organization Active NPI

Rajiv N Desai DDS Inc

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1104212059
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32294 Issued in CA
Legal business name
RAJIV N DESAI DDS INC
Practice address
1212 S Bristol St Ste 17C
Santa Ana, CA 92704-3439
Phone
(714) 850-1211
Fax
(714) 850-9094
NPI assigned
Apr 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Dr. Rajiv N Desai, DDSNPI 1336281872
Title
Dentist
Phone
(714) 850-1211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 32294 CA Primary

Addresses

Primary practice location

1212 S Bristol St Ste 17C
Santa Ana, CA 92704-3439

Mailing address

1212 S Bristol St Ste 17C
Santa Ana, CA 92704-3439
Phone (714) 850-1211

National Provider Directory

National Provider Directory

Locations

1212 S Bristol St
Ste 17C
Santa Ana, CA 92704
Phone (714) 850-1211

Practitioners & affiliated clinicians

Practitioners 3

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": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1104212059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S BRISTOL ST STE 17C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043439",
            "telephone_number": "714-850-1211",
            "fax_number": "714-850-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S BRISTOL ST STE 17C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043439",
            "telephone_number": "714-850-1211",
            "fax_number": "714-850-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJIV N DESAI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-850-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.