MANA KAFAEI DDS, INC. (NPI# 1205488111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205488111 |
| Entity Type | Organization |
| Organization Name | MANA KAFAEI DDS, INC. |
| Practice Address |
15390 Fairfield Ranch Rd Ste E Chino Hills CA 91709-8854 |
| Mailing Address |
12420 Butler Way Tustin CA 92782-1143 |
| Practice Telephone | 9096066336 |
| Mailing Telephone | 6508393526 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Authorized Official Name | MANA KAFAEI (PRESIDENT) |
| Authorized Official Telephone | 6508393526 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
15390 FAIRFIELD RANCH RD STE E |
| City | CHINO HILLS |
| State | CA |
| Zip Code | 91709-8854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750873923 | Bahar Movahed Bashiri | Dentist | 15390 Fairfield Ranch Rd Ste E, Chino Hills, CA 91709-8854 | 2018-06-04 |
| 1821575374 | Bahar Movahed, Dds, Inc. | Clinic/Center | 15390 Fairfield Ranch Rd Ste E, Chino Hills, CA 91709-8854 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1164071684 | Julia Grienitz | Physician Assistant | 3110 Chino Ave Ste 150b, Chino Hills, CA 91709 | 2019-09-06 |
| 1063992014 | Bonifacio Coronel Fontanilla | Respiratory Therapist, Certified | 2363 Scenic Ridge Dr, Chino Hills, CA 91709 | 2018-08-20 |
| 1174023832 | William George Kyriakakos | Counselor | 3782 Daisy Dr, Chino Hills, CA 91709 | 2018-02-19 |
| 1538677604 | Qurban Dental Corproation | Dentist | 15850 Soquel Canyon Pkwy, Suite A, Chino Hills, CA 91709 | 2018-01-11 |
| 1184131831 | Jacqueline Davidson | Specialist/Technologist | 14255 Peyton Dr., Chino Hills, CA 91709 | 2018-01-03 |
| 1508384702 | Jessica Suwan | Nurse Practitioner | 15403 Aqueduct Lane, Chino Hills, CA 91709 | 2017-09-07 |
| 1750809240 | Livewell Therapy, Inc. | Counselor | 5861 Pine Ave., Chino Hills, CA 91709 | 2017-09-05 |
| 1982122776 | Corey Robert Tiller | Physician Assistant | 1737 Walnut Creek Drive, Chino Hills, CA 91709 | 2017-09-01 |
| Find all providers in zip 91709 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653009 | Phyllis K. Kawada, Dds, Ms, A Professional Corporation | Clinic/Center | 15944 Los Serranos Country Club Dr Ste 100, Chino Hills, CA 91709-3254 | 2018-09-20 |
| 1083030092 | Kim and Gandhi Kim Dental Corporation | Clinic/Center | 5881 Pine Ave, Suite B, Chino Hills, CA 91709 | 2014-03-14 |
| 1457688830 | B. Changela D.d.s. Inc. | Clinic/Center | 3280 Chino Hills Park Way, Suite 4, Chino Hills, CA 91709 | 2009-11-05 |
| 1467669028 | A & T Santos Dental Corporation | Clinic/Center | 4183 Chino Hills Pkwy, Suite H, Chino Hills, CA 91709-3781 | 2007-05-16 |
| 1023136496 | Albert S. Chang D.d.s., Inc | Clinic/Center | 2557 Chino Hills Pkwy, Ste. C, Chino Hills, CA 91709-5103 | 2007-03-26 |
| 1821575374 | Bahar Movahed, Dds, Inc. | Clinic/Center | 15390 Fairfield Ranch Rd Ste E, Chino Hills, CA 91709-8854 | 2018-07-26 |
| 1376783845 | Jose Enrique Arevalo Dds, Inc | Clinic/Center | 13161 Peyton Dr, Suite B, Chino Hills, CA 91709-6006 | 2009-02-24 |
| 1790989614 | Daniel I. Lee, Inc. | Clinic/Center | 4200 Chino Hills Pkwy, Suite 880, Chino Hills, CA 91709-3776 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | CHINO HILLS |
| Zip Code | 91709 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.