Organization Active NPI

Tina Mobasseri, DDS Inc

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1689556375
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TINA MOBASSERI, DDS INC
Practice address
15640 Caldas de Reyes
San Diego, CA 92128-4414
Phone
(704) 533-3523
NPI assigned
Jul 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Dr. Tina Mobasseri, DDSNPI 1184398356
Title
Owner Dr
Phone
(704) 533-3523

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15640 Caldas de Reyes
San Diego, CA 92128-4414

Mailing address

15640 Caldas de Reyes
San Diego, CA 92128-4414
Phone (704) 533-3523

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1689556375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 CALDAS DE REYES",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284414",
            "telephone_number": "704-533-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 CALDAS DE REYES",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284414",
            "telephone_number": "704-533-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA MOBASSERI, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "MOBASSERI",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER DR",
        "authorized_official_telephone_number": "704-533-3523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.