Active NPI
Mohdsameer Yi Aljanedi, D.D.S.
- Dentist
- Huntington Beach, CA
National Provider Identifier
1932314077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41577
- Practice address
- 18800 Main St Ste 110
Huntington Beach, CA 92648-1717 - Phone
- (714) 842-6151
- Fax
- (714) 842-6764
- NPI assigned
- May 11, 2007
- 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 | 41577 | CA | Primary |
Addresses
Primary practice location
18800 Main St Ste 110
Huntington Beach, CA 92648-1717
Mailing address
13488 Maxella Ave Apt 209
Marina del Rey, CA 90292-4337
Phone (310) 386-8188
Other practice location 1
4292 Lincoln Blvd
Marina Del Rey, CA 90292-5655
Phone (310) 578-5000
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 |
|---|---|---|---|
| 41577 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohdsameer Aljanedi Dental Corporation | Dentist | Past | Accepting new patients |
| Mohdsameer Aljanedi Prof Dental Corporation | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Beachside Dental Group
- Dentist
- Huntington Beach, CA
- NPI 1518122498
-
dba Marina Dentistry
- Dentist
- Marina del Rey, CA
- NPI 1437314317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1932314077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13488 MAXELLA AVE APT 209",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902924337",
"telephone_number": "310-386-8188",
"fax_number": "310-306-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18800 MAIN ST STE 110",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926481717",
"telephone_number": "714-842-6151",
"fax_number": "714-842-6764"
}
],
"practiceLocations": [
{
"address_1": "4292 Lincoln Blvd",
"address_purpose": "LOCATION",
"city": "Marina Del Rey",
"state": "CA",
"postal_code": "902925655",
"country_code": "US",
"telephone_number": "310-578-5000",
"fax_number": "310-578-5003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALJANEDI",
"first_name": "MOHDSAMEER",
"middle_name": "YI",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "41577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
- Joshua Alexander, BCBA
- Alexandria N. Arditti DDS, Dental Corporation (Pacific View Dental Group Alexandria N. Arditti D.D.S.)
- Iyah Alfakhri
- Ali Ahmad Family Medicine (Bella Terra Urgent Care)
- Aligned Dental House
- All Ear Doctors Hearing AIDS
- All Ears Hearing AIDS, Inc
- All in Therapy and Rehab, LLC
- All in Therapy and Rehab, LLC
- All-in Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.