Shidrokh Mafi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

55055 Issued in CA

Practice address

23704 El Toro Rd
Suite a
Lake Forest, CA 92630-8906

Phone

(949) 770-9355

Fax

(949) 770-9356

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• McMurray Dental Corporation

  • General Practice Dentistry
  • Lake Forest, CA
  • NPI 1831295633
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1720295348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23704 EL TORO RD",
            "address_2": "SUITE A",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308906",
            "telephone_number": "949-770-9355",
            "fax_number": "949-770-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23704 EL TORO RD",
            "address_2": "SUITE A",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308906",
            "telephone_number": "949-770-9355",
            "fax_number": "949-770-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAFI",
        "first_name": "SHIDROKH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Macias, OTR/L
• Maureen Catherine Macias, LCSW
• Marla Faith Maciel, L.C.S.W.
• Kylie Mackenzie
• Victoria Eileen Madden
• Magic Potion Inc
• Ariana Mah, D.P.T.
• Mahroo Dental Corporation
• Nazafarine Mahroo, DDS
• Nicole Majowicz, FNP-BC

• Dentist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.