NPIMap

Organization Active NPI

Cohen Sedgh, Manavi & Pakravan Dental Corp

Doing business as West Coast Dental Group of Menifee

  • Dentist
  • Menifee, CA
National Provider Identifier
1295187474
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38558 Issued in CA
Legal business name
COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP
Doing business as
West Coast Dental Group of Menifee
Practice address
30035 Haun Rd Unit B
Menifee, CA 92584-6805
Phone
(310) 820-9933
Fax
(310) 820-0408
NPI assigned
Jul 12, 2016
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Dr. Farhad Manavi, DDSNPI 1568505303
Title
Owner
Phone
(310) 820-9933

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 38558 CA Primary

Addresses

Primary practice location

30035 Haun Rd Unit B
Menifee, CA 92584-6805

Mailing address

30035 Haun Road
Menifee, CA 92584
Phone (310) 820-9933

Other names 1

  • WEST COAST DENTAL GROUP OF MENIFEE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cohen Sedgh Manavi Pakravan Dental Corporation23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

30035 Haun Rd
Menifee, CA 92584
Phone (951) 225-3324

30035 Haun Rd
Unit B
Menifee, CA 92584

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": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1295187474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30035 HAUN ROAD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92584",
            "telephone_number": "310-820-9933",
            "fax_number": "310-820-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30035 HAUN RD UNIT B",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925846805",
            "telephone_number": "310-820-9933",
            "fax_number": "310-820-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "MANAVI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-820-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST COAST DENTAL GROUP OF MENIFEE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.