Active NPI
Jana Abdulrahim
- General Practice Dentistry
- Huntington Beach, CA
National Provider Identifier
1821960758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 111866
- Practice address
- 19754 Beach Blvd
Huntington Beach, CA 92648-2989 - Phone
- (714) 964-8830
- NPI assigned
- Sep 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 111866 | CA | Primary |
Addresses
Primary practice location
19754 Beach Blvd
Huntington Beach, CA 92648-2989
Mailing address
11110 Charnock Rd
Los Angeles, CA 90034-6507
Phone (628) 226-5516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111866 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lina Musleh Dental Corporation | Current | Accepting new patients | |
| Aguirre Dental Professional Corporation | Current | Accepting new patients |
Locations
19754 Beach Blvd
Huntington Beach, CA 92648
Phone (714) 964-8830
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Huntington Beach, CA
- NPI 1558193615
-
- Dentist
- Huntington Beach, CA
- NPI 1326140534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758326400000",
"number": "1821960758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11110 CHARNOCK RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900346507",
"telephone_number": "628-226-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19754 BEACH BLVD",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926482989",
"telephone_number": "714-964-8830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULRAHIM",
"first_name": "JANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-20",
"last_updated": "2025-09-20",
"certification_date": "2025-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "111866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.