Individual provider Active NPI

Anu Mohan, DDS

  • Dentist
  • Del Mar, CA
National Provider Identifier
1487063111
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63659 Issued in CA
Practice address
3790 Via de la Valle #208
Del Mar, CA 92014-4250
Phone
(858) 367-9717
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63659 CA Primary

Addresses

Primary practice location

3790 Via de la Valle #208
Del Mar, CA 92014-4250

Mailing address

3790 Via de la Valle #208
Del Mar, CA 92014-4250
Phone (858) 465-8717

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anu Mohan DDS Inc CurrentSince Dec 22, 2024 Accepting new patients
Santee Dental Care for Happy Teeth PastSince Mar 1, 2021 Accepting new patients
Al Tekreeti DMD Inc PastSince May 16, 2021 Accepting new patients

Locations

3790 Via de la Valle
Ste 208
Del Mar, CA 92014
Phone (858) 367-9717

Organizations & group practices 3

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1487063111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 VIA DE LA VALLE #208",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144250",
            "telephone_number": "858-465-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 VIA DE LA VALLE #208",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144250",
            "telephone_number": "858-367-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "ANU",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.