Individual provider Active NPI

George Mirsal, DDS

  • Dentist
  • Yorba Linda, CA
National Provider Identifier
1366081747
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104686 Issued in CA
Practice address
18651 Yorba Linda Blvd
Yorba Linda, CA 92886-4136
Phone
(909) 434-8182
NPI assigned
Jan 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 104686 CA Primary

Addresses

Primary practice location

18651 Yorba Linda Blvd
Yorba Linda, CA 92886-4136

Mailing address

18651 Yorba Linda Blvd
Yorba Linda, CA 92886-4136
Phone (909) 434-8182

Other practice location 1

16141 Bolsa Chica St Ste C
Huntington Beach, CA 92649-2458
Phone (714) 846-1386

Other practice location 2

2955 Van Buren Blvd Ste H4
Riverside, CA 92503-5675
Phone (951) 689-8544

Other names 1

  • George Gamil Mirsal Abdelsayed Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250923003825 CA Practitioner - Dentist 8325542327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Colorado School of Dentistry, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16141 Bolsa Chica St
Suite C
Huntington Beach, CA 92649-2457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
George Abdelsayed DDS Inc CurrentSince Aug 26, 2025 Accepting new patients
Favian Cheong, DDS Inc. CurrentSince Nov 24, 2025 Accepting new patients
Abdelsayed & Wassif Dental Group Inc. Dentist CurrentSince Jul 6, 2025 Accepting new patients
Vivian Kwon D.D.S. Inc. Past Accepting new patients
Engy Halim DDS Inc PastSince Oct 16, 2022 Accepting new patients

Locations

16141 Bolsa Chica St
Huntington Beach, CA 92649
Phone (714) 846-1386

16141 Bolsa Chica St
Ste C
Huntington Beach, CA 92649
Phone (714) 846-1386

18651 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 277-3271

Organizations & group practices 5

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1366081747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18651 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864136",
            "telephone_number": "909-434-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18651 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864136",
            "telephone_number": "909-434-8182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16141 Bolsa Chica St Ste C",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926492458",
            "country_code": "US",
            "telephone_number": "714-846-1386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2955 Van Buren Blvd Ste H4",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925035675",
            "country_code": "US",
            "telephone_number": "951-689-8544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRSAL",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-02",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "ABDELSAYED",
            "middle_name": "GAMIL MIRSAL",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.