1. Home
  2. Directory
  3. California
  4. Costa Mesa
  5. Dentist
  6. NPI Profile

SOCAL SMILES DENTISTRY
NPI 1508015603
Dentist in Costa Mesa, CA

Active since September 12, 2008CLIA 05D2314092 · Waiver
230 E 17TH ST, SUITE 208, COSTA MESA, CA 92627(949) 645-0045(949) 645-0055 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Socal Smiles Dentistry NPPES

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

SOCAL SMILES DENTISTRY (NPI 1508015603) is a healthcare organization registered as a dentist in Costa Mesa, California and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Rinesh Ganatra, Owner, as its authorized official.

NPPES Registry Identity

NPI1508015603
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCOSTA MESA CORP.
Location Address230 E 17TH ST, SUITE 208Costa Mesa, CA 92627-3824
Mailing Address230 E 17th St, Suite 208Costa Mesa, CA 92627-3824 · (949) 645-0045 · Fax (949) 645-0055
Phone(949) 645-0045
Fax(949) 645-0055
Organization SubpartNo
Authorized OfficialRinesh GanatraOwner · (949) 766-0006
Enumeration DateSeptember 12, 2008
✔ NPI 1508015603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 5007
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
230 E 17TH ST, Costa Mesa, CA 92627
Open in Google Maps ↗

Other Names 1

Doing Business AsSocal Smiles Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2314092

Costa Mesa Adult Day Health Care Center · Costa Mesa, CA
Active · expires Nov 12, 2026
CLIA Number05D2314092
Laboratory TypeComm. Based Adult Srvcs
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorDaesoon Leem
Laboratory Phone(949) 200-9419
Laboratory LocationCosta Mesa Adult Day Health Care Center1901 Newport Blvd, Suite 180, Costa Mesa, CA 92627
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

FARAND KUSNADI DC
Chiropractor
230 E 17TH ST, SUITE 202
COSTA MESA, CA 92627
Orange County (949) 999-0777
MR. CLAUDIO M CARVALHO D.O.
Physical Medicine & Rehabilitation (Pain Medicine)
230 E 17TH ST, SUITE 202
COSTA MESA, CA 92627
Orange County (949) 999-0782
CLAUDIO M. CARVALHO, D.O, A PROFESSIONAL MEDICAL CORPORATION
Physical Medicine & Rehabilitation
230 E 17TH ST, SUITE 202
COSTA MESA, CA 92627
Orange County (949) 999-0777
MRS. JESSICA AMLING P.T.
Physical Therapist
230 E 17TH ST, SUITE 201
COSTA MESA, CA 92627
Orange County (949) 631-0125
ANGELA EUNKYUNG KIM D.D.S
Dentist (General Practice)
230 E 17TH ST, 208
COSTA MESA, CA 92627
Orange County (949) 645-0045
DR. SUK WOO D.D.S.
Dentist
230 E 17TH ST, STE. 208
COSTA MESA, CA 92627
Orange County (949) 645-0045
DR. CHONWAY DALY TRAM DDS
Dentist (General Practice)
230 E 17TH ST, SUITE 208
COSTA MESA, CA 92627
Orange County (949) 645-0045
MR. MOHAMMAD FARDGHASSEMI
Hearing Instrument Specialist
230 E 17TH ST, SUITE 170
COSTA MESA, CA 92627
Orange County (949) 650-5990

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 Costa Mesa Corp.'s NPI number?

The NPI number for Costa Mesa Corp. is 1508015603. It was assigned to this organization in the NPPES registry on September 12, 2008. The provider is doing business as Socal Smiles Dentistry.

Where is Costa Mesa Corp. located?

Costa Mesa Corp. is located at 230 E 17th St Suite 208, Costa Mesa, CA 92627. The listed phone number is (949) 645-0045.

What is Costa Mesa Corp.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Does Costa Mesa Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2314092) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Costa Mesa Corp. was last updated on September 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.