Individual provider Active NPI

Mark Nakhla

  • Dentist
  • Livermore, CA
National Provider Identifier
1831575331
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64819 Issued in CA
Practice address
87 Fenton St Ste 201
Livermore, CA 94550-4159
Phone
(925) 447-6428
NPI assigned
Aug 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 64819 CA Primary

Addresses

Primary practice location

87 Fenton St Ste 201
Livermore, CA 94550-4159

Mailing address

87 Fenton St Ste 201
Livermore, CA 94550-4159
Phone (925) 447-6428

Other practice location 1

20099 Redwood Rd
Castro Valley, CA 94546-4326
Phone (510) 881-1611

Other practice location 2

2821 Crow Canyon Rd Ste 200
San Ramon, CA 94583-1659
Phone (925) 200-7236

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
64819CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Amardeep Gill, D.D.S., Inc. Dentist Past Accepting new patients
Pacific Dental Services Dentist Past Accepting new patients
Mark Nakhla DDS Inc. Past Accepting new patients

Organizations & group practices 3

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": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1831575331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 FENTON ST STE 201",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504159",
            "telephone_number": "925-447-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 FENTON ST STE 201",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504159",
            "telephone_number": "925-447-6428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20099 Redwood Rd",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945464326",
            "country_code": "US",
            "telephone_number": "510-881-1611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2821 Crow Canyon Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945831659",
            "country_code": "US",
            "telephone_number": "925-200-7236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKHLA",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-06",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.