Active NPI
Mariam Soldin-Wasfi DMD Professional Corp
- Dental Clinic/Center
- San Juan Capistrano, CA
National Provider Identifier
1114735677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MARIAM SOLDIN-WASFI DMD PROFESSIONAL CORP
- Practice address
- 31105 Rancho Viejo Rd Ste C2
San Juan Capistrano, CA 92675-1717 - Phone
- (949) 218-3607
- NPI assigned
- Dec 30, 2024
- 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. Mariam Soldin-Wasfi, DMD
- Title
- Owner Dentist
- Phone
- (949) 278-9449
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
31105 Rancho Viejo Rd Ste C2
San Juan Capistrano, CA 92675-1717
Mailing address
31105 Rancho Viejo Rd Ste C2
San Juan Capistrano, CA 92675-1717
Phone (949) 218-3607
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Lake Forest, CA
- NPI 1396198636
-
- Dentist
- San Juan Capistrano, CA
- NPI 1205868494
-
- Dentist
- San Juan Capistrano, CA
- NPI 1043424526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1114735677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31105 RANCHO VIEJO RD STE C2",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926751717",
"telephone_number": "949-218-3607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31105 RANCHO VIEJO RD STE C2",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926751717",
"telephone_number": "949-218-3607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIAM SOLDIN-WASFI DMD PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "SOLDIN-WASFI",
"authorized_official_first_name": "MARIAM",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "949-278-9449",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan Capistrano, CA
- Pat Anne Mann, M.A.
- Jennifer Rebecca Mansoor
- Derek Mantey, MS, ATC, PTA
- Marcum Psychological Services Corp
- Maria Theresa Baylon-D'Souza
- Valerie Marinko, RPH
- Mariposa Women and Family Center
- Mark Stephen Sutton, MD AMC
- Marriage & Family Therapy of Mind-Body Wellness, Inc.
- Marriage Made Better Relationship Counseling
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.