Ali Motanabbeh, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

102204 Issued in CA

Practice address

9331 Mission Gorge Rd Ste 105
Santee, CA 92071-3883

Phone

(619) 448-2158

Fax

(619) 448-2165

NPI assigned

May 17, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jadali and Rygg Dental Corporation

  • Dentist
  • Santee, CA
  • NPI 1891103271
  NPD (past)

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306373626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 FESTIVAL RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782806",
            "telephone_number": "760-809-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 MISSION GORGE RD STE 105",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713883",
            "telephone_number": "619-448-2158",
            "fax_number": "619-448-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Westchester Hall, Rm. 151",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117948711",
            "country_code": "US",
            "telephone_number": "631-444-2557",
            "fax_number": "631-444-6013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Westchester Hall, Rm. 151",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117948711",
            "country_code": "US",
            "telephone_number": "631-444-2557",
            "fax_number": "631-444-6013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1124 Festival Rd",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920782806",
            "country_code": "US",
            "telephone_number": "760-809-9392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTANABBEH",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Monroe, DPT, PT
• Moureen Caroro Montillano
• Jennifer Gayle Moreno, RN
• Cara Morris
• Jane Salinas Morse, P.A-C
• Lindsey Therese Motsenbocker
• Mountain Health & Community Services, Inc
• Elaheh Mozaffarian, PT
• Richard Gonzales Mugol, MD
• Remy Rafols Munda

• Dentist in Santee, CA
• Providers in Santee, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.