Mahsa Jaberiansari, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59856 Issued in CA

Practice address

2089 Vale Rd
Suite 15 and 16
San Pablo, CA 94806-3847

Phone

(415) 746-9412

NPI assigned

Sep 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mahsa Ansari Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Ansari Dental Corporation, Inc.

  • Dental Clinic/Center
  • San Ramon, CA
  • NPI 1780190629
  NPD (past) Authorized official
• Mahsa Jaberiansari DDS Inc

  • General Practice Dentistry
  • San Pablo, CA
  • NPI 1811363294
  NPD (past) Authorized official

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442102400000",
    "number": "1376852970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KENNETH DR",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945561600",
            "telephone_number": "415-730-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 VALE RD",
            "address_2": "SUITE 15 AND 16",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063847",
            "telephone_number": "415-746-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABERIANSARI",
        "first_name": "MAHSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2015-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHSA",
            "last_name": "ANSARI",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ali Ignacio
• Imhotep Issaquena Medical Group, Inc.
• Insite Digestive Health Care
• Kathy T Insixiengmay
• Baulo Irorere, RN
• Felix Jackl
• Tramaine Alan Jackson
• Teri Beth Jasman, BCBA
• Jaleesa Jeffery
• Jenny Vidal Jennings, RAS

• General Practice Dentistry in San Pablo, CA
• Providers in San Pablo, 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 13, 2015; 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.