Shadi M Rad Jadali, D.D.S., M.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51991 Issued in CA

Practice address

24000 Alicia Pkwy
Suite 34
Mission Viejo, CA 92691-3929

Phone

(949) 707-7000

Fax

(949) 707-0088

NPI assigned

Oct 20, 2006

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

Other names 1

• Dr. Shadi M Rad Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770665291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24000 ALICIA PARKWAY",
            "address_2": "SUITE 34",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "714-914-2444",
            "fax_number": "949-707-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24000 ALICIA PKWY",
            "address_2": "SUITE 34",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913929",
            "telephone_number": "949-707-7000",
            "fax_number": "949-707-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAD JADALI",
        "first_name": "SHADI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHADI",
            "last_name": "RAD",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Farah Qureshi
• Henry Ho-Jin Ra, M.D.
• Malia Rabatin-Aguilar, PSYD, LP
• Aryan Rabbani, PHARM.D
• Rachel Coleman, Licensed Marriage and Family Therapist Incorporated
• Kristyn Noelle Radmilovich, LCSW
• Michelle L. Radmore, OTR/L
• Raef M Elsanadi MD Inc a Professional Corporation
• Victor Robert Rafa, D.C.
• Christopher Rafalski, O.D.

• General Practice Dentistry in Mission Viejo, CA
• Providers in Mission Viejo, 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 Jul 8, 2007; 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.