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
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, DDS
Title
President
Phone
(650) 839-3526

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

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.