Individual provider Active NPI

Marjan Rashedi, DMD

  • Pediatric Dentistry
  • San Marcos, CA
National Provider Identifier
1659578953
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
58202 Issued in CA
Practice address
838 Nordahl Rd Ste 125
San Marcos, CA 92069-3513
Phone
(760) 294-6208
Fax
(760) 294-6325
NPI assigned
Jun 29, 2007
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 58202 CA Primary

Addresses

Primary practice location

838 Nordahl Rd Ste 125
San Marcos, CA 92069-3513

Mailing address

838 Nordahl Rd Ste 145
San Marcos, CA 92069-3513
Phone (760) 480-6700

Other practice location 1

838 Nordahl Rd Ste 145
San Marcos, CA 92069-3513
Phone (760) 480-6700

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
58202CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rashedi DMD PC Current Accepting new patients
M Rashedi DMD Dental Corp Pediatric Dentistry CurrentSince Dec 14, 2025 Accepting new patients
Marjan Rashedi DMD Inc Pediatric Dentistry Current Accepting new patients

Locations

838 Nordahl Rd
Ste 125
San Marcos, CA 92069
Phone (760) 294-6208

838 Nordahl Rd
Ste 145
San Marcos, CA 92069
Phone (619) 651-5470

Organizations & group practices 3

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1659578953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 NORDAHL RD STE 145",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693513",
            "telephone_number": "760-480-6700",
            "fax_number": "760-480-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 NORDAHL RD STE 125",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693513",
            "telephone_number": "760-294-6208",
            "fax_number": "760-294-6325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "838 Nordahl Rd Ste 145",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920693513",
            "country_code": "US",
            "telephone_number": "760-480-6700",
            "fax_number": "760-480-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASHEDI",
        "first_name": "MARJAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58202",
            "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 Oct 6, 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.