Individual provider Active NPI

Safa Manafi Varkiani

  • Dentist
  • Corona, CA
National Provider Identifier
1528787173
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
110103 Issued in CA
Practice address
131 W Ontario Ave Ste 102
Corona, CA 92882-5274
Phone
(951) 898-9700
NPI assigned
Aug 25, 2022
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 110103 CA Primary

Addresses

Primary practice location

131 W Ontario Ave Ste 102
Corona, CA 92882-5274

Mailing address

131 W Ontario Ave Ste 102
Corona, CA 92882-5274
Phone (951) 898-9700

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
110103CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
CF Rodgers DDS Inc General Practice PastSince Oct 21, 2025 Accepting new patients
Charles F Rodgers Dental Corporation General Practice PastSince Oct 21, 2025 Accepting new patients
Milford Smiles General Practice PastSince Aug 1, 2022 Accepting new patients
Milford Smiles General Practice PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 4

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1528787173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W ONTARIO AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825274",
            "telephone_number": "951-898-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W ONTARIO AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825274",
            "telephone_number": "951-898-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAFI VARKIANI",
        "first_name": "SAFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110103",
            "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 Oct 17, 2025; 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.