Individual provider Active NPI

Sital Anand Shah, DDS

  • Dentist
  • Placentia, CA
National Provider Identifier
1124431085
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63042 Issued in CA
Practice address
724 N Rose Dr
Placentia, CA 92870-7520
Phone
(562) 569-5808
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63042 CA Primary

Addresses

Primary practice location

724 N Rose Dr
Placentia, CA 92870-7520

Mailing address

724 N Rose Dr
Placentia, CA 92870-7520
Phone (562) 569-5808

Other practice location 1

20429 Yorba Linda Blvd
Yorba Linda, CA 92886-3042
Phone (714) 695-9530

Other names 1

  • Sital Virendra Mandalia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
63042CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sital Mandalia DDS Inc Dentist CurrentSince Apr 27, 2025 Accepting new patients
Sital Shah DDS, PC CurrentSince Jan 12, 2025 Accepting new patients
Yazdani & Nadir DDS Inc Dentist Past Accepting new patients

Locations

724 N Rose Dr
Placentia, CA 92870
Phone (562) 569-5808

20429 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 695-9530

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1124431085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 N ROSE DR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928707520",
            "telephone_number": "562-569-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 N ROSE DR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928707520",
            "telephone_number": "562-569-5808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20429 Yorba Linda Blvd",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "928863042",
            "country_code": "US",
            "telephone_number": "714-695-9530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SITAL",
        "middle_name": "ANAND",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SITAL",
            "last_name": "MANDALIA",
            "middle_name": "VIRENDRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.