NPIMap

Organization Active NPI

Pravin R Desai DDS Inc

Doing business as Dr Desai Gage Family Dental Group

  • Dentist
  • Bell, CA
National Provider Identifier
1578631362
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28537 Issued in CA
Legal business name
PRAVIN R DESAI DDS INC
Doing business as
Dr Desai Gage Family Dental Group
Practice address
4127 East Gage Avenue
Bell, CA 90201-1128
Phone
(323) 773-2931
Fax
(323) 773-2933
NPI assigned
Dec 1, 2006
Last updated
Jul 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Pravin Ratilal Desai, DDSNPI 1215355300
Title
President Dentist Owner
Phone
(323) 773-2931

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
Dentist 122300000X 28537 CA Primary

Addresses

Primary practice location

4127 East Gage Avenue
Bell, CA 90201-1128

Mailing address

4127 East Gage Avenue
Bell, CA 90201-1128
Phone (323) 773-2931

Other identifiers 1

IdentifierTypeStateIssuer
B2853701OtherCAMEDI CAL DENTAL

Other names 2

  • Dr Desai Gage Family Dental Group Doing business as
  • Pravin R Desai DDS Inc Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1578631362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 EAST GAGE AVENUE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902011128",
            "telephone_number": "323-773-2931",
            "fax_number": "323-773-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4127 EAST GAGE AVENUE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902011128",
            "telephone_number": "323-773-2931",
            "fax_number": "323-773-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAVIN R DESAI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "PRAVIN",
        "authorized_official_middle_name": "RATILAL",
        "authorized_official_title_or_position": "PRESIDENT DENTIST OWNER",
        "authorized_official_telephone_number": "323-773-2931",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "28537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL DENTAL",
            "identifier": "B2853701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Desai Gage Family Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pravin R Desai DDS Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pravin R Desai DDS Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.