Mina Habibian, D.M.D., PH.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48280 Issued in CA

Practice address

11385 Poway Rd
Suite 103
San Diego, CA 92128-5600

Phone

(858) 486-8611

Fax

(858) 486-1099

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Credentials

Doctor of Philosophy

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.

• Mina Habibian DMD PHD Dental Corporation

  • Clinic/Center
  • San Diego, CA
  • NPI 1487042198
  NPD (past) Authorized official
• Kelly J Hwang DDS Inc

  • Dentist
  • San Diego, CA
  • NPI 1477068930
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427070515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11385 POWAY ROAD",
            "address_2": "SUITE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92128",
            "telephone_number": "858-486-8611",
            "fax_number": "858-486-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11385 POWAY RD",
            "address_2": "SUITE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921285600",
            "telephone_number": "858-486-8611",
            "fax_number": "858-486-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIBIAN",
        "first_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "D.M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Haberman
• Joshua Lee Haberstroh, DO
• Soraya Habeych
• Mandy Ein Habib
• Paula Ayesha Habib, M.D.
• Habita Behavioral Care
• Habitual Care
• Haboon Transportation LLC
• Habstritt Chiropractic
• Nawaz Khan Abdul Hack, MD

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Jul 8, 2007; 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.