Mojtaba Ghalambor, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

103876 Issued in CA

Practice address

2121 E Coast Hwy Ste 230
Corona del Mar, CA 92625-1932

Phone

(626) 488-8515

NPI assigned

Jun 27, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Don Mungcal DDS Brentwood Inc.

  dba Brentwood Dental Care

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1407636335
  NPD (past)
• Don Mungcal, D.D.S., Inc.

  dba Downtown Dental

  • General Practice Dentistry
  • Manhattan Beach, CA
  • NPI 1003133109
  NPD (past)

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1689235871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 PASEO ALAMOS",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734239",
            "telephone_number": "626-488-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY STE 230",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251932",
            "telephone_number": "626-488-8515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 S Grand Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900123035",
            "country_code": "US",
            "telephone_number": "213-620-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHALAMBOR",
        "first_name": "MOJTABA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103876",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "103876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Doreen Foreman, PT, DPT
• Emily Forney, FNP-C
• Jeffrey Fracalosy, DPT
• Mark Daniel Gaon, M.D.
• Garfield Beach CVS LLC (CVS Pharmacy #11420)
• Evelyn Giles
• Caitlin Glenn
• Robert Goldstone, MD
• Marybeth Grant-Beuttler, P.T., PH.D.
• Serena Gupta, MFC

• Endodontics in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.