Organization Active NPI

Sital Mandalia DDS Inc

  • Dentist
  • Placentia, CA
National Provider Identifier
1154832111
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63042 Issued in CA
Legal business name
SITAL MANDALIA DDS INC
Practice address
724 N Rose Dr
Placentia, CA 92870-7520
Phone
(562) 569-5808
NPI assigned
Oct 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Sital Mandalia, DDS
Title
President
Phone
(562) 569-5808

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 63042 CA Primary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 63042 CA

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 names 1

  • ORACARE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1154832111",
    "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": [],
    "basic": {
        "organization_name": "SITAL MANDALIA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "MANDALIA",
        "authorized_official_first_name": "SITAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-569-5808",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "63042",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORACARE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 18, 2017; 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.