Abrahim Mustafa D.D.S.,Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42374 Issued in CA

Legal business name

ABRAHIM MUSTAFA D.D.S.,INC.

Practice address

2280 S Garey Ave
Pomona, CA 91766-5645

Phone

(909) 364-0633

Fax

(909) 364-0636

NPI assigned

Mar 27, 2007

Last updated

Dec 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abrahim Abdul MustafaNPI 1033199112

Title

Office Manager

Phone

(909) 364-0633

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abrahim Abdul Mustafa, D.D.S.

  • General Practice Dentistry
  • Pomona, CA
  • NPI 1033199112
  NPD (past) Authorized official
• Alfred Mustafa, DDS

  • Dentist
  • Pomona, CA
  • NPI 1891620407
  NPD (past)
• Hernando Suarez Ayora, DDS

  • Dentist
  • Pomona, CA
  • NPI 1528025798
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1770601502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 S GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917665645",
            "telephone_number": "909-364-0633",
            "fax_number": "909-364-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 S GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917665645",
            "telephone_number": "909-364-0633",
            "fax_number": "909-364-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAHIM MUSTAFA D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "ABRAHIM",
        "authorized_official_middle_name": "ABDUL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-364-0633"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Pomona, CA
• Providers in Pomona, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.