Active NPI
Mark Nakhla
- Dentist
- Livermore, CA
National Provider Identifier
1831575331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64819
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 64819 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Livermore, CA
- NPI 1831012087
-
- Dentist
- Brentwood, CA
- NPI 1558629386
-
- Dentist
- Brentwood, CA
- NPI 1992181911
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.