Organization Active NPI

M.Jamali DMD, P.Dokhanchi DDS, Apc

  • General Practice Dentistry
  • San Mateo, CA
National Provider Identifier
1447452313
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46050 Issued in CA
Legal business name
M.JAMALI DMD, P.DOKHANCHI DDS, APC
Practice address
324 N San Mateo Dr
#1
San Mateo, CA 94401-2514
Phone
(650) 342-9571
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Poriya Dokhanchi, DDSNPI 1417003740
Title
Owner Dentist
Phone
(650) 342-9571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 46050 CA Primary

Addresses

Primary practice location

324 N San Mateo Dr
#1
San Mateo, CA 94401-2514

Mailing address

324 N San Mateo Dr
#1
San Mateo, CA 94401-2514
Phone (650) 342-9571

National Provider Directory

National Provider Directory

Locations

324 N San Mateo Dr
Ste 1
San Mateo, CA 94401
Phone (650) 342-9571

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447452313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N SAN MATEO DR",
            "address_2": "#1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012514",
            "telephone_number": "650-342-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N SAN MATEO DR",
            "address_2": "#1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012514",
            "telephone_number": "650-342-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.JAMALI DMD, P.DOKHANCHI DDS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOKHANCHI",
        "authorized_official_first_name": "PORIYA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "650-342-9571",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.