Ismael Sikander Nawaz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

108280 Issued in CA

Practice address

1643 S San Jacinto Ave Ste 100&101
San Jacinto, CA 92583-5181

Phone

(951) 654-7744

NPI assigned

Oct 25, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lee and Nosti Dental Corporation

  dba San Jacinto Smiles Dentistry Dental Group

  • General Practice Dentistry
  • San Jacinto, CA
  • NPI 1033385455
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1891412250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 S GRAND AVE APT 1217",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152789",
            "telephone_number": "909-263-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 S SAN JACINTO AVE STE 100&101",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835181",
            "telephone_number": "951-654-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWAZ",
        "first_name": "ISMAEL",
        "middle_name": "SIKANDER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Namm, DDS
• Nancy R Patel DDS Inc.
• Natalie Macias-Torres LCSW Counseling and Consulting Prof Corp (Nuevo Beginning Counseling-DBA Pending)
• Adriana Nava Godoy, CHW
• Ana Bolena Navia, PPS
• Roseanna Maria Necochea
• Neelam Gupta
• Neelam Gupta M.D. Inc. (Hemacinto Sleep)
• Nelly Marlene Nunez Dba Victoria Gardens Residential Care
• Katie Nelson

• Dentist in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.