Individual provider Active NPI

Mani Zarnegar, D.D.S.

  • Dentist
  • Laguna Hills, CA
National Provider Identifier
1679855894
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33421 Issued in CA
Practice address
25255 Cabot Rd
Suite 107
Laguna Hills, CA 92653-5519
Phone
(949) 581-5055
NPI assigned
Sep 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 33421 CA Primary

Addresses

Primary practice location

25255 Cabot Rd
Suite 107
Laguna Hills, CA 92653-5519

Mailing address

25255 Cabot Rd
Suite 107
Laguna Hills, CA 92653-5519
Phone (949) 581-5055

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
33421CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1679855894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25255 CABOT RD",
            "address_2": "SUITE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535519",
            "telephone_number": "949-581-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25255 CABOT RD",
            "address_2": "SUITE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535519",
            "telephone_number": "949-581-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARNEGAR",
        "first_name": "MANI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "33421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.