Individual provider Active NPI

Manijeh Hosseini, D.D.S.

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1467679233
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40946 Issued in CA
Practice address
1177 Broadway Ste 19
Chula Vista, CA 91911-2771
Phone
(619) 409-1400
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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 40946 CA Primary

Addresses

Primary practice location

1177 Broadway Ste 19
Chula Vista, CA 91911-2771

Mailing address

PO Box 3104
Rancho Santa Fe, CA 92067-3104
Phone (619) 746-0187

Other practice location 1

1052 Broadway
Chula Vista, CA 91911-1857
Phone (619) 746-0187

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
40946CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Manijeh Hosseini Maroon, DDS, PC General Practice Current Accepting new patients
Chula Vista Dental Care General Practice Current Accepting new patients

Locations

1052 Broadway
Chula Vista, CA 91911
Phone (619) 409-1400

1177 Broadway
Ste 19
Chula Vista, CA 91911
Phone (619) 409-1400

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1467679233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3104",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920673104",
            "telephone_number": "619-746-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 BROADWAY STE 19",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112771",
            "telephone_number": "619-409-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1052 Broadway",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919111857",
            "country_code": "US",
            "telephone_number": "619-746-0187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSSEINI",
        "first_name": "MANIJEH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.