Active NPI
Mana Kafaei DDS, Inc.
- Dental Clinic/Center
- Chino Hills, CA
National Provider Identifier
1205488111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mana Kafaei, DDS
- Title
- President
- Phone
- (650) 839-3526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.