Al Shyste Manesh, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

48376 Issued in CA

Practice address

24953 Paseo de Valencia Ste 13C
Laguna Hills, CA 92653-4344

Phone

(949) 600-7123

Fax

(949) 364-2870

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

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.

• Al Manesh DMD Inc

  • Periodontics
  • Laguna Hills, CA
  • NPI 1184888398
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1124241575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PARKWAY",
            "address_2": "SUITE 425",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-364-2935",
            "fax_number": "949-364-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA STE 13C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534344",
            "telephone_number": "949-600-7123",
            "fax_number": "949-364-2870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26800 Crown Valley Parkway",
            "address_2": "Suite 425",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "92691",
            "country_code": "US",
            "telephone_number": "949-364-2935",
            "fax_number": "949-364-2870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANESH",
        "first_name": "AL",
        "middle_name": "SHYSTE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48376",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "48376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "almanesh@missionimplantcenter.com",
            "affiliation": "N",
            "endpointDescription": "Office website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "another office location",
            "address_1": "24953 Paseo De Valencia Ste 13C",
            "city": "Laguna Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926534344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacqueline Malekirad, M.D.
• Harpreet Malla, M.A.
• Alina Malloy
• Mariya Doncheva Malone, MS, LMFT, LPCC
• Alma Manalo
• Charles C Manger III, M.D.
• Manifest Behavioral Health
• Karen Lee Manna, AU.D.
• Robert George Manolakas, M.D.
• Hadi Mansoury, M.D.

• Periodontics in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.