Sandip Desai DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

43139 Issued in CA

Legal business name

SANDIP DESAI DDS INC.

Practice address

23962 Alessandro Blvd
Suite # R
Moreno Valley, CA 92553-8817

Phone

(951) 697-8888

Fax

(951) 697-8886

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Sandip J Desai, D.D.S.NPI 1336246016

Title

President

Phone

(951) 697-8888

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandip J Desai, DDS, MS

  • General Practice Dentistry
  • Moreno Valley, CA
  • NPI 1336246016
  NPD (past) Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891819397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23962 ALESSANDRO BLVD",
            "address_2": "SUITE # R",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538817",
            "telephone_number": "951-697-8888",
            "fax_number": "951-697-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23962 ALESSANDRO BLVD",
            "address_2": "SUITE # R",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538817",
            "telephone_number": "951-697-8888",
            "fax_number": "951-697-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIP DESAI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SANDIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-697-8888",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Sanchez
• Jarissa Yvette Sanchez I
• Maria Consuelo Sanchez, ACSW
• Paul Aaron Sanchez
• Manbir Singh Sandhu, MD
• Leanna Sandoval
• Gisella Laverne Sandy, M.D.
• Sang G Shin, DDS, Inc.
• John Sanico, M.D.
• Julianna Santacruz, MS (IP)

• Dentist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.