Active NPI
Kajal Bawa, DDS
- General Practice Dentistry
- Garden Grove, CA
National Provider Identifier
1851012124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS107901
- Practice address
- 11922 Seacrest Dr Ste B
Garden Grove, CA 92840-1937 - Phone
- (657) 251-9222
- NPI assigned
- Sep 6, 2022
- 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 | DDS107901 | CA | Primary |
Addresses
Primary practice location
11922 Seacrest Dr Ste B
Garden Grove, CA 92840-1937
Mailing address
19892 Red Roan LN
Yorba Linda, CA 92886-7928
Other practice location 1
1310 W Stewart Dr
Orange, CA 92868-3854
Phone (714) 774-3000
Other practice location 2
1701 W Imperial Hwy
Ste B
La Habra, CA 90631
Phone (562) 690-5729
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 |
|---|---|---|---|
| DDS107901 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noor Rahimi Dental Corporation | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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
- La Habra, CA
- NPI 1407158223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1851012124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19892 RED ROAN LN",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928867928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11922 SEACREST DR STE B",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928401937",
"telephone_number": "657-251-9222"
}
],
"practiceLocations": [
{
"address_1": "1310 W Stewart Dr",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683854",
"country_code": "US",
"telephone_number": "714-774-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 W Imperial Hwy",
"address_2": "Ste B",
"address_purpose": "LOCATION",
"city": "La Habra",
"state": "CA",
"postal_code": "90631",
"country_code": "US",
"telephone_number": "562-690-5729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAWA",
"first_name": "KAJAL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS107901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.