Individual provider Active NPI

Gauri T Shea, DDS

  • Dentist
  • San Diego, CA
National Provider Identifier
1194201566
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
102819 Issued in CA
Practice address
9888 Carmel Mountain Rd Ste B
San Diego, CA 92129-2807
Phone
(858) 780-8870
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 102819 CA Primary

Addresses

Primary practice location

9888 Carmel Mountain Rd Ste B
San Diego, CA 92129-2807

Mailing address

9888 Carmel Mountain Rd Ste B
San Diego, CA 92129-2807
Phone (701) 388-5124

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190625002596 CA Practitioner - Dentist 6608100698 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Jun 4, 2019 Accepting new patients
Gauri Syal DDS Inc Dentist Current Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jun 4, 2019 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
4030 Dental Inc. Dentist Past Accepting new patients

Locations

9888 Carmel Mountain Rd
Ste B
San Diego, CA 92129
Phone (858) 780-8870

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500

Organizations & group practices 5

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1194201566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 CARMEL MOUNTAIN RD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292807",
            "telephone_number": "701-388-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 CARMEL MOUNTAIN RD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292807",
            "telephone_number": "858-780-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "GAURI",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.