Sandip J Desai, DDS, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43139 Issued in CA

Practice address

23962 Alessandro Blvd
# R
Moreno Valley, CA 92553-8817

Phone

(951) 697-8888

Fax

(951) 697-8886

NPI assigned

Sep 17, 2006

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

Credentials

Master of Science

State licenses

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.

• Sandip Desai DDS Inc.

  • Dentist
  • Moreno Valley, CA
  • NPI 1891819397
  NPD (past) Authorized official

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1336246016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9472",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925529472",
            "telephone_number": "951-697-8888",
            "fax_number": "951-697-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23962 ALESSANDRO BLVD",
            "address_2": "# R",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538817",
            "telephone_number": "951-697-8888",
            "fax_number": "951-697-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SANDIP",
        "middle_name": "J",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43139",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "43139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harpreet Deogun, FNP
• Sandeep Deogun, CRNA
• Rita Derderian
• Desire Sally Derrera, BS
• Desai & Patel DDS Inc.
• Desert Trails Psychology, Professional Corporation
• Destiny Home Health Agency Inc
• Destiny Hospice Care, Inc
• Reena Devaraj
• Tristyn Deveau

• General Practice Dentistry in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.