Individual provider Active NPI

Ehsan Nasery, DDS

  • General Practice Dentistry
  • San Marcos, CA
National Provider Identifier
1427103993
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47965 Issued in CA
Practice address
838 Nordahl Rd Ste 100
San Marcos, CA 92069-3598
Phone
(760) 294-0730
Fax
(760) 294-0733
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 47965 CA Primary

Addresses

Primary practice location

838 Nordahl Rd Ste 100
San Marcos, CA 92069-3598

Mailing address

838 Nordahl Rd Ste 100
San Marcos, CA 92069-3598
Phone (760) 294-0730

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
47965CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cabrillo Dental Group Inc Current Accepting new patients
Rashedi Dental Group Inc General Practice Past Accepting new patients

Locations

838 Nordahl Rd
Ste 100
San Marcos, CA 92069
Phone (619) 788-6880

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1427103993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 NORDAHL RD STE 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693598",
            "telephone_number": "760-294-0730",
            "fax_number": "760-294-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 NORDAHL RD STE 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693598",
            "telephone_number": "760-294-0730",
            "fax_number": "760-294-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASERY",
        "first_name": "EHSAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.