MRS. MAHNAZ M HEYDARI DDS
NPI 1548355571
Dentist in Vallejo, CA

Q: What is Mahnaz Heydari's NPI number?

The NPI number for Mahnaz Heydari is 1548355571. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Mahnaz Heydari's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mahnaz Heydari was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 04, 2006PECOS Enrolled

2920 SONOMA BLVD, SUITE A, VALLEJO, CA 94590(707) 558-2000(707) 644-3507 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Mahnaz M Heydari Dds NPPES

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

MRS. MAHNAZ M HEYDARI DDS (NPI 1548355571) is an individual dentist in Vallejo, California, licensed in California (DDS53997) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Benicia.

NPPES Registry Identity

NPI1548355571

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameMRS. MAHNAZ M HEYDARICredential: DDS

Location Address2920 SONOMA BLVD, SUITE AVallejo, CA 94590

Mailing Address1601 Fruitvale AveOakland, CA 94601-2322 · (510) 535-4000 · Fax (510) 535-4128

Phone(707) 558-2000

Fax(707) 644-3507

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateAugust 17, 2018

✔ NPI 1548355571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in CA · DDS53997✔ Licensed in CA · 53997

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.

2920 SONOMA BLVD, Vallejo, CA 94590

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Secondary Practice Location 1

Location 1321 1st StBenicia, CA 94510-3268 · Phone (510) 579-4479

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mahnaz M Heydari Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94590 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.85 typical visit price

range $65.02 – $191.95

Typical copayment $24.71 (range $16.25 – $47.98)

Most-billed visit code 99203

Established Patient

$80.24 typical visit price

range $21.86 – $157.69

Typical copayment $20.06 (range $5.46 – $39.42)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

CLAUDIA PATINO GOMEZ RDH

Dental Hygienist

2920 SONOMA BLVD
VALLEJO, CA 94590

Solano County (707) 558-2000

DR. MICHAEL C. LUU D.O.

Internal Medicine (Pulmonary Disease)

2920 SONOMA BLVD, SUITE C
VALLEJO, CA 94590

Solano County (707) 643-0400

EDILYN GURION RDH

Dental Hygienist

2920 SONOMA BLVD, #A
VALLEJO, CA 94590

Solano County (707) 558-2000

DONNA JEAN WILLIAMS RDH

Dental Hygienist

2920 SONOMA BLVD, SUITE A
VALLEJO, CA 94590

Solano County (707) 558-2000

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 Mahnaz Heydari's NPI number?

The NPI number for Mahnaz Heydari is 1548355571. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Mahnaz Heydari located?

Mahnaz Heydari practices at 2920 Sonoma Blvd Suite A, Vallejo, CA 94590. The listed phone number is (707) 558-2000.

What is Mahnaz Heydari's specialty?

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

Is Mahnaz Heydari enrolled in Medicare?

Yes. Mahnaz Heydari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mahnaz Heydari was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.