Individual provider Active NPI

Joshua Seth Goldfaden, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Del Mar, CA
National Provider Identifier
1992487862
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
109032 Issued in CA
Practice address
12835 Pointe del Mar Way Ste 3
Del Mar, CA 92014-3846
Phone
(248) 633-5965
NPI assigned
Aug 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X DS044329 PA
Oral and Maxillofacial Pathology Dentistry 1223P0106X 109032 CA Primary

Addresses

Primary practice location

12835 Pointe del Mar Way Ste 3
Del Mar, CA 92014-3846

Mailing address

12835 Pointe del Mar Way Ste 3
Del Mar, CA 92014-3846
Phone (248) 633-5965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20230922000566 PA Order and Referring Only - DentistPractitioner - Dentist 4587018759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109032CAMDOral and Maxillofacial Pathology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Oral Pain Experts Corporation Oral and Maxillofacial Pathology Current Accepting new patients

Locations

12835 Pointe del Mar Way
Ste 3
Del Mar, CA 92014
Phone (248) 633-5965

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.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1992487862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12835 POINTE DEL MAR WAY STE 3",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143846",
            "telephone_number": "248-633-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12835 POINTE DEL MAR WAY STE 3",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143846",
            "telephone_number": "248-633-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFADEN",
        "first_name": "JOSHUA",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "PA",
            "license": "DS044329",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "109032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

Verify at the official NPI Registry.