Iman M Madi, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

100125 Issued in CA

Practice address

26302 La Paz Rd, Suite 207
Mission Viejo, CA 92691

Phone

(415) 476-1731

NPI assigned

Jun 28, 2016

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

Other identifiers 1

Other names 1

• Mr. Seyed I Mohammadi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• UCSF School of Dentistry

  • Periodontics
  • San Francisco, CA
  • NPI 1740672005
  NPD (past)

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1386095677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD, SUITE 207",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-830-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD, SUITE 207",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "415-476-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADI",
        "first_name": "IMAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DENTAL BOARD",
            "identifier": "100125",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEYED",
            "last_name": "MOHAMMADI",
            "middle_name": "I",
            "prefix": "MR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Henry D Macias, PA
• Lisa Soul Macias, DNP, FNP, RN
• Amanda Mackavich
• Christy D Madden, CRNA
• Farah Madhat, PHARMD
• Madnik, Inc
• John D Madrid, DC
• Ralph H. Maeda Jr., M.D.
• Kyle Maerean
• Amanda Suzan Maffris, PT, DPT

• Dentist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.