Organization Active NPI

Salib Medical a Professional Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Mission Viejo, CA
National Provider Identifier
1639562796
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
53942 Issued in CA
Legal business name
SALIB MEDICAL A PROFESSIONAL CORPORATION
Practice address
26732 Crown Valley Pkwy Ste 531
Mission Viejo, CA 92691-8526
Phone
(949) 364-0250
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Nader Salib, DDS
Title
President
Phone
(949) 364-0250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 53942 CA Primary

Addresses

Primary practice location

26732 Crown Valley Pkwy Ste 531
Mission Viejo, CA 92691-8526

Mailing address

26732 Crown Valley Pkwy Ste 531
Mission Viejo, CA 92691-8526
Phone (949) 364-0250

National Provider Directory

National Provider Directory

Locations

26732 Crown Valley Pkwy
#53
Mission Viejo, CA 92691
Phone (949) 364-0250

26732 Crown Valley Pkwy
Ste 531
Mission Viejo, CA 92691
Phone (949) 364-0250

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1639562796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 531",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918526",
            "telephone_number": "949-364-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 531",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918526",
            "telephone_number": "949-364-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIB MEDICAL A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "SALIB",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-364-0250",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "53942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.