Individual provider Active NPI

Mahtab Saadatmandi, DMD

  • General Practice Dentistry
  • Vista, CA
National Provider Identifier
1316274749
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55005 Issued in CA
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

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
55005CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mahtab Saadatmandi,DMD, a Dental Corporation CurrentSince Apr 26, 2020 Accepting new patients
Mahtab & Hossein Saadatmandi a Dental Corp General Practice PastSince Nov 20, 2022 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.

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

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.

Verify at the official NPI Registry.