Active NPI
Mahtab Saadatmandi, DMD
- General Practice Dentistry
- Vista, CA
National Provider Identifier
1316274749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 55005
- Practice address
- 2311 S. Melrose Dr.
Vista, CA 92081 - Phone
- (760) 599-1100
- Fax
- (760) 599-1102
- NPI assigned
- Nov 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 55005 | CA | Primary |
Addresses
Primary practice location
2311 S. Melrose Dr.
Vista, CA 92081
Mailing address
2311 S. Melrose Dr.
Vista, CA 92081
Phone (760) 599-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55005 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahtab Saadatmandi,DMD, a Dental Corporation | Current | Accepting new patients | |
| Mahtab & Hossein Saadatmandi a Dental Corp | General Practice | Past | Accepting new patients |
Locations
2311 S Melrose Dr
Vista, CA 92081
Phone (760) 599-1100
Organizations & group practices 2
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.
-
dba Washington Dental
- Dental Clinic/Center
- Escondido, CA
- NPI 1497375042
-
dba Premier Dental Arts
- General Practice Dentistry
- Vista, CA
- NPI 1679281075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1316274749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 S. MELROSE DR.",
"city": "VISTA",
"state": "CA",
"postal_code": "92081",
"telephone_number": "760-599-1100",
"fax_number": "760-599-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 S. MELROSE DR.",
"city": "VISTA",
"state": "CA",
"postal_code": "92081",
"telephone_number": "760-599-1100",
"fax_number": "760-599-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAADATMANDI",
"first_name": "MAHTAB",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-05",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "55005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
- S Tchon & Da Smith DDS MD Inc
- S. Luke Berthelsen DPM, Inc (Foundation Foot & Ankle)
- S. Tani, a Dental Corporation (Melrose Square Dental Group)
- S.P. Optical Dispensing Laboratory, Inc. (S.P. Optical)
- Hossein Saadatmandi, DMD
- Alberta Saavedra, LMFT
- Mirna Saavedra
- Alexander Afshin Sabet, D.D.S.
- Sacred Journey Recovery Solutions LLC (Sacred Journey Recovery)
- Haleh Ghayour Sadig, PHARM D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.