Active NPI
Girish B Desai, D.D.S
- Dentist
- Corona, CA
National Provider Identifier
1427260561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35097
- Practice address
- 4140 Webster Ranch Rd
Corona, CA 92881-4760 - Phone
- (951) 751-8210
- Fax
- (951) 736-7907
- NPI assigned
- May 3, 2007
- Last updated
- Sep 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35097 | CA | Primary |
Addresses
Primary practice location
4140 Webster Ranch Rd
Corona, CA 92881-4760
Mailing address
4140 Webster Ranch Rd
Corona, CA 92881-4760
Phone (951) 751-8210
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35097 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bhavik Bhakta DDS Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1427260561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 WEBSTER RANCH RD",
"city": "CORONA",
"state": "CA",
"postal_code": "928814760",
"telephone_number": "951-751-8210",
"fax_number": "951-736-7907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 WEBSTER RANCH RD",
"city": "CORONA",
"state": "CA",
"postal_code": "928814760",
"telephone_number": "951-751-8210",
"fax_number": "951-736-7907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "GIRISH",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "35097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.