Pacifica Dental

Primary specialty

DentistTaxonomy code 122300000X

License

41577 Issued in CA

Legal business name

PACIFICA DENTAL

Practice address

18821 Delaware St
Ste 101
Huntington Beach, CA 92648-1935

Phone

(714) 848-8211

Fax

(714) 848-4570

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mohdsameer Y Al-Janedi, DDS

Title

General Manager

Phone

(714) 955-3784

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1891950846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18821 DELAWARE ST",
            "address_2": "STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481935",
            "telephone_number": "714-848-8211",
            "fax_number": "714-848-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18821 DELAWARE ST",
            "address_2": "STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481935",
            "telephone_number": "714-848-8211",
            "fax_number": "714-848-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "AL-JANEDI",
        "authorized_official_first_name": "MOHDSAMEER",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "714-955-3784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Shores Medical Group, Inc
• Pacific Sun Sleep Solutions
• Pacific Surgical Center
• Pacific Surgical Center, P.C.
• Pacific Surgical LLC.
• Pacifica Laser Eye Center
• Pacifica Orthopedics
• Pacifica Orthopedics & Sports Medicine
• Pacifica Orthopedics Medical Corporation
• Pacifica Orthopedics Medical Corporation

• Dentist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.