Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

DR. KETAN JAGJIVAN MISTRY
NPI 1104747922
Dentist - General Practice in San Diego, CA

Active since July 25, 2026
3737 MORAGA AVE STE B309, SAN DIEGO, CA 92117(858) 581-3641 Get Directions Write a Review

NPPES record added: July 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ketan Jagjivan Mistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KETAN JAGJIVAN MISTRY (NPI 1104747922) is an individual general practice provider in San Diego, California, licensed in California (110915) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1104747922
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KETAN JAGJIVAN MISTRY
Location Address3737 MORAGA AVE STE B309San Diego, CA 92117-5478
Mailing Address3737 Moraga Ave Ste B309San Diego, CA 92117-5478 · (858) 581-3641
Sole ProprietorNo
Enumeration DateJuly 25, 2026
NPPES CertifiedJuly 25, 2026
NPI 1104747922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 110915
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3737 MORAGA AVE STE B309, San Diego, CA 92117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketan Mistry's NPI number?

The NPI number for Ketan Mistry is 1104747922. It was assigned to this individual provider in the NPPES registry on July 25, 2026.

Where is Ketan Mistry located?

Ketan Mistry practices at 3737 Moraga Ave Ste B309, San Diego, CA 92117. The listed phone number is (858) 581-3641.

What is Ketan Mistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ketan Mistry was last updated on July 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.