Organization Active NPI

Cabrillo Dental Group Inc

  • Dentist
  • San Marcos, CA
National Provider Identifier
1619808052
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CABRILLO DENTAL GROUP INC
Practice address
838 Nordahl Rd Ste 100
San Marcos, CA 92069-3598
Phone
(619) 788-6880
NPI assigned
May 26, 2026
Organization subpart
Yes
Parent organization
CABRILLO DENTAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Ehsan Nasery, DDSNPI 1427103993
Title
Dentist
Phone
(619) 788-6880

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

838 Nordahl Rd Ste 100
San Marcos, CA 92069-3598

Mailing address

838 Nordahl Rd Ste 100
San Marcos, CA 92069-3598
Phone (619) 788-6880

National Provider Directory

National Provider Directory
Part of
Cabrillo Dental Group Inc

Locations

838 Nordahl Rd
Ste 100
San Marcos, CA 92069
Phone (619) 788-6880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1619808052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 NORDAHL RD STE 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693598",
            "telephone_number": "619-788-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 NORDAHL RD STE 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693598",
            "telephone_number": "619-788-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABRILLO DENTAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CABRILLO DENTAL GROUP INC",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "NASERY",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "619-788-6880",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

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