Individual provider Active NPI

Solomon Jacob Heifets

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1376339077
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
111381 Issued in CA
Practice address
10181 Magnolia Ave
Riverside, CA 92503-3444
Phone
(951) 689-0701
NPI assigned
Apr 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 111381 CA Primary

Addresses

Primary practice location

10181 Magnolia Ave
Riverside, CA 92503-3444

Mailing address

11540 Moorpark St Unit 104
North Hollywood, CA 91602-4221
Phone (818) 469-4961

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
111381CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tsibel Dental Practice Inc. General Practice CurrentSince Apr 20, 2025 Accepting new patients
Tsibel Dental Practice Inc. General Practice CurrentSince Apr 20, 2025 Accepting new patients

Locations

10181 Magnolia Ave
Riverside, CA 92503
Phone (951) 200-3753

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": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1376339077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11540 MOORPARK ST UNIT 104",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916024221",
            "telephone_number": "818-469-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10181 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033444",
            "telephone_number": "951-689-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIFETS",
        "first_name": "SOLOMON",
        "middle_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.