Organization Active NPI

Mana Kafaei DDS, Inc.

  • Dental Clinic/Center
  • Chino Hills, CA
National Provider Identifier
1205488111
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MANA KAFAEI DDS, INC.
Practice address
15390 Fairfield Ranch Rd Ste E
Chino Hills, CA 91709-8854
Phone
(909) 606-6336
NPI assigned
Jul 10, 2019
Last updated
Jul 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Mana Kafaei, DDSNPI 1518334663
Title
President
Phone
(650) 839-3526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

15390 Fairfield Ranch Rd Ste E
Chino Hills, CA 91709-8854

Mailing address

12420 Butler Way
Tustin, CA 92782-1143
Phone (650) 839-3526

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1205488111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12420 BUTLER WAY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821143",
            "telephone_number": "650-839-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15390 FAIRFIELD RANCH RD STE E",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917098854",
            "telephone_number": "909-606-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANA KAFAEI DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "KAFAEI",
        "authorized_official_first_name": "MANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-839-3526",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.