Santa Maria Dental Office Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37486 Issued in CA

Legal business name

SANTA MARIA DENTAL OFFICE INC

Practice address

11938 South Hawthorne BLV
Hawthorne, CA 90250

Phone

(310) 973-0945

Fax

(310) 973-2135

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nawal Nazeer Rofael, DDSNPI 1194944066

Title

President

Phone

(310) 973-0945

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nawal Nazeer Rofael, DDS

  • Dentist
  • Hawthorne City, CA
  • NPI 1194944066
  NPD (past) Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275608010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11938 SOUTH HAWTHORNE BLV",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250",
            "telephone_number": "310-973-0945",
            "fax_number": "310-973-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11938 SOUTH HAWTHORNE BLV",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250",
            "telephone_number": "310-973-0945",
            "fax_number": "310-973-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MARIA DENTAL OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROFAEL",
        "authorized_official_first_name": "NAWAL",
        "authorized_official_middle_name": "NAZEER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-973-0945",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Jose Community Clinic
• Maria D Sanchez
• Martin Sanchez
• Raymond Anthony Sanchez Jr.
• Sandhurst Convalescent Group, LTD.
• Nona Pacatang Santos, N.P.-C
• Sarah S Olelewe, MD, Inc
• Luz Mery Sarria, RN NP
• Karla Patricia Saucedo
• David Allen Schames, DDS

• General Practice Dentistry in Hawthorne, CA
• Providers in Hawthorne, 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 Aug 22, 2020; 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.