Individual provider Active NPI

Jana Abdulrahim

  • General Practice Dentistry
  • Huntington Beach, CA
National Provider Identifier
1821960758
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
111866 Issued in CA
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

Updated by the provider on Sep 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
111866CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lina Musleh Dental Corporation CurrentSince Sep 21, 2025 Accepting new patients
Aguirre Dental Professional Corporation CurrentSince Sep 21, 2025 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.

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.

Verify at the official NPI Registry.