Gajendragadkar Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GAJENDRAGADKAR DENTAL CORP

Practice address

23141 Moulton Pkwy Ste 211
Laguna Hills, CA 92653-1204

Phone

(949) 916-0568

NPI assigned

Oct 13, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Surabhi Gajendragadkar, BDS, MPH,DDSNPI 1235684796

Title

President/Owner Doctor

Phone

(218) 730-7644

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Surabhi Gajendragadkar, B.D.S, MPH, D.D.S.

  • General Practice Dentistry
  • Chino Hills, CA
  • NPI 1235684796
  NPD Authorized official
• Sameeh G Tadros, D.D.S.

  • General Practice Dentistry
  • Doral, FL
  • NPI 1356645303
  NPD (past)

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1275409773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LACEBARK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182243",
            "telephone_number": "218-730-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23141 MOULTON PKWY STE 211",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531204",
            "telephone_number": "949-916-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAJENDRAGADKAR DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "GAJENDRAGADKAR",
        "authorized_official_first_name": "SURABHI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER DOCTOR",
        "authorized_official_telephone_number": "218-730-7644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, MPH,DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Kayla Frutos
• Sumire Christina Fukada
• Future Health Center Inc
• Christina Ann Gabel, CNM, WHCNP
• Rami San Anwar Gabriel
• Melanie Elizabeth Galan, LMFT
• Michelle Galan
• Jay Gale, PH.D.
• Pooja Shah Gallegos, OTD, OTR/L
• Angel Reign Ignacio Galvan, DPT

• General Practice Dentistry in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.