NPIMap

Organization Active NPI

Mohammad Abul Fielat DDS Inc

  • Pediatric Dentistry
  • Fontana, CA
National Provider Identifier
1316150964
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
CA43302 Issued in CA
Legal business name
MOHAMMAD ABUL FIELAT DDS INC
Practice address
16946 Marygold Ave
Ste #101
Fontana, CA 92335
Phone
(909) 355-0385
Fax
(909) 355-0585
NPI assigned
May 8, 2007
Last updated
Feb 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Authorized official

Name
Mohamad G Abul Fielat, PEDONPI 1275700510
Title
Owner
Phone
(909) 355-0385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X CA43302 CA Primary

Addresses

Primary practice location

16946 Marygold Ave
Ste #101
Fontana, CA 92335

Mailing address

9193 Sierra Ave
Suite B
Fontana, CA 92335
Phone (909) 355-0385

Other identifiers 1

IdentifierTypeStateIssuer
60543OtherSAFEGUARD

National Provider Directory

National Provider Directory
Tax ID family
Mohammad Abul-Fielat DDS Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

16946 Marygold Ave
Ste 101
Fontana, CA 92335
Phone (909) 355-0385

Practitioners & affiliated clinicians

Practitioners 2

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1316150964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9193 SIERRA AVE",
            "address_2": "SUITE B",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "909-355-0385",
            "fax_number": "909-355-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16946 MARYGOLD AVE",
            "address_2": "STE #101",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "909-355-0385",
            "fax_number": "909-355-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD ABUL FIELAT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "ABUL FIELAT",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-355-0385",
        "authorized_official_credential": "PEDO"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "CA43302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD",
            "identifier": "60543",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.