Mustafa Alshabeeb, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

108404 Issued in CA

Practice address

29560 Rancho California Rd Ste 100
Temecula, CA 92591-5294

Phone

(951) 699-2144

NPI assigned

Dec 7, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

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.

• Lynda Watanabe Dental Corporation

  • General Practice Dentistry
  • Temecula, CA
  • NPI 1235222423
  NPD (past)

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1366153611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43846 CARINI CT",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924379",
            "telephone_number": "737-217-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29560 RANCHO CALIFORNIA RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915294",
            "telephone_number": "951-699-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSHABEEB",
        "first_name": "MUSTAFA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "endpointDescription": "Pacific Dental services",
            "address_1": "29560 Rancho California Rd Ste 100",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925915294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Delair Lucas Alnajjar, MD
• Alpha Discount Supply
• Alpphas Home Health Services
• Olla Alsadek
• Sara Alsarray
• Alta Home Health Care Agency
• Candace Elizabeth Althen, LVN
• Mohamad Altriki, MD
• Alma Alvarado
• Eliana Olmedo Alvarado

• Dentist in Temecula, CA
• Providers in Temecula, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.