Active NPI
Khjavid and Mnadi Dental Corp
- General Practice Dentistry
- Corona del Mar, CA
National Provider Identifier
1689250706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- KHJAVID AND MNADI DENTAL CORP
- Practice address
- 2121 E Coast Hwy Ste 140
Corona del Mar, CA 92625-1959 - Phone
- (949) 640-0222
- Fax
- (949) 640-0333
- NPI assigned
- Mar 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Katrina Saldivar
- Title
- Office Admin
- Phone
- (310) 561-7265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2121 E Coast Hwy Ste 140
Corona del Mar, CA 92625-1959
Mailing address
2121 E Coast Hwy Ste 140
Corona del Mar, CA 92625-1959
Phone (949) 640-0222
National Provider Directory
National Provider DirectoryLocations
2121 E Coast Hwy
Ste 140
Corona del Mar, CA 92625
Phone (949) 640-0222
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Corona del Mar, CA
- NPI 1609964451
-
- General Practice Dentistry
- Rolling Hills Estates, CA
- NPI 1609071216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616112000000",
"number": "1689250706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E COAST HWY STE 140",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926251959",
"telephone_number": "949-640-0222",
"fax_number": "949-640-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E COAST HWY STE 140",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926251959",
"telephone_number": "949-640-0222",
"fax_number": "949-640-0333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHJAVID AND MNADI DENTAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-19",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A",
"authorized_official_last_name": "SALDIVAR",
"authorized_official_first_name": "KATRINA",
"authorized_official_title_or_position": "OFFICE ADMIN",
"authorized_official_telephone_number": "310-561-7265",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.