Individual provider Active NPI

Nazita R Gaff, DMD

  • General Practice Dentistry
  • Laguna Niguel, CA
National Provider Identifier
1598825507
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53334 Issued in CA
Practice address
30262 Crown Valley Pkway Suite B416
Laguna Niguel, CA 92677
Phone
(492) 906-8329
NPI assigned
Dec 11, 2006
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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 53334 CA Primary

Addresses

Primary practice location

30262 Crown Valley Pkway Suite B416
Laguna Niguel, CA 92677

Mailing address

30262 Crown Valley Pkway
Suite B416
Laguna Niguel, CA 92677
Phone (949) 290-6832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241226001931 CA Practitioner - Dentist 4688024433 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nazita Radbakht Gaff Inc. General Practice Current Accepting new patients
N Gaff Dental Corp General Practice CurrentSince Oct 30, 2024 Accepting new patients

Locations

30231 Golden Lantern
Ste D
Laguna Niguel, CA 92677
Phone (949) 363-1200

30262 Crown Valley Pkwy
Ste B416
Laguna Niguel, CA 92677
Phone (492) 906-8329

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, 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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1598825507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30262 CROWN VALLEY PKWAY",
            "address_2": "SUITE B416",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "949-290-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30262 CROWN VALLEY PKWAY SUITE B416",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "492-906-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFF",
        "first_name": "NAZITA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.