Evangelista Dental Group Pacifica, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EVANGELISTA DENTAL GROUP PACIFICA, PC

Practice address

205 Rockaway Beach Ave Ste 8
Pacifica, CA 94044-3269

Phone

(650) 355-3126

NPI assigned

May 12, 2026

Organization subpart

No

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

Authorized official

Name

Casey Castle

Title

Director of Payor Contracting

Phone

(912) 732-1504

Specialties & licenses 1

Addresses

Other names 1

• Rockaway Beach Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lina Eltahir, DDS

  • Dentist
  • Flint, MI
  • NPI 1518664853
  NPD (past)

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1689502247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ROCKAWAY BEACH AVE STE 8",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ROCKAWAY BEACH AVE STE 8",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443269",
            "telephone_number": "650-355-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELISTA DENTAL GROUP PACIFICA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR CONTRACTING",
        "authorized_official_telephone_number": "912-732-1504"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockaway Beach Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Duy Nguyen DDS, Professional Dental Corporation
• Melani Eichenbaum, L.AC., MSTCM
• Kelsey Ellis, MA
• Sarah Marie English
• Sarah Esmaili, DMD
• Family Community Acupuncture
• Madison Nicole Fandel, N.D.
• Feel Good Compounders
• Fenech Enterprises, a Marriage & Family Therapy Corporation
• Kate Frances Fenech, LMFT

• All providers in Pacifica, CA
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.