CHILDREN'S PRIMARY DENTAL GROUP
NPI 1356471460
Dentist - Pediatric Dentistry in Chula Vista, CA

Q: What is Safoura Massoumi Professional Dental Corp.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since March 07, 2007

397 E STREET SUITE A, CHULA VISTA, CA 91910(619) 425-9930(619) 425-9887 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Children's Primary Dental Group NPPES

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

CHILDREN'S PRIMARY DENTAL GROUP (NPI 1356471460) is a healthcare organization registered as a pediatric dentistry in Chula Vista, California and active in the NPI registry since March 2007. The organization lists David Velazquez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1356471460

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSAFOURA MASSOUMI PROFESSIONAL DENTAL CORP.

Location Address397 E STREET SUITE AChula Vista, CA 91910

Mailing Address397 E Street Suite AChula Vista, CA 91910 · (619) 425-9930 · Fax (619) 425-9887

Phone(619) 425-9930

Fax(619) 425-9887

Organization SubpartNo

Authorized OfficialDavid VelazquezOffice Manager · (619) 425-9930

Enumeration DateMarch 7, 2007

Last NPPES UpdateMay 27, 2015

✔ NPI 1356471460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CA · 40677

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

397 E STREET SUITE A, Chula Vista, CA 91910

Open in Google Maps ↗

Other Names 1

Doing Business AsChildren's Primary Dental Group

Other Identifiers 1

MedicaidG9226502CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Safoura Massoumi Professional Dental Corp.'s NPI number?

The NPI number for Safoura Massoumi Professional Dental Corp. is 1356471460. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is doing business as Children's Primary Dental Group.

Where is Safoura Massoumi Professional Dental Corp. located?

Safoura Massoumi Professional Dental Corp. is located at 397 E Street Suite A, Chula Vista, CA 91910. The listed phone number is (619) 425-9930.

What is Safoura Massoumi Professional Dental Corp.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Safoura Massoumi Professional Dental Corp. accept?

Health plans from UnitedHealthcare list Safoura Massoumi Professional Dental Corp. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Safoura Massoumi Professional Dental Corp. was last updated on May 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.