SAFOURA MASSOUMI DDS PEDIATRIC DENTIS
NPI 1497823561
Dentist - Pediatric Dentistry in Chula Vista, CA

Active since November 30, 2006
397 E ST, STE #A, CHULA VISTA, CA 91910(619) 425-9930(619) 425-9887 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Safoura Massoumi Dds Pediatric Dentis NPPES

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

SAFOURA MASSOUMI DDS PEDIATRIC DENTIS (NPI 1497823561) is an individual pediatric dentistry provider in Chula Vista, California, licensed in California (40677) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1497823561
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameSAFOURA MASSOUMICredential: DDS PEDIATRIC DENTIS
Location Address397 E ST, STE #AChula Vista, CA 91910
Mailing Address397 E St, Ste #aChula Vista, CA 91910 · (619) 425-9930 · Fax (619) 425-9887
Fax(619) 425-9887
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateJanuary 15, 2013
NPI 1497823561 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 ST, Chula Vista, CA 91910

Other Identifiers 1

MedicaidG9226501CA

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
397 E ST, STE #A
CHULA VISTA, CA 91910
Dentist (Pediatric Dentistry)
397 E ST, STE #A
CHULA VISTA, CA 91910
Dentist
397 E ST
CHULA VISTA, CA 91910

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497823561, enumerated as an "individual" on November 30, 2006.

The provider is located at 397 E ST STE #A CHULA VISTA, CA 91910 and the phone number is (619) 425-9930.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.