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COMMUNITY DENTAL GROUP, INC.
NPI 1548730450
Preferred Provider Organization in Newberry Park, CA

Active since December 04, 2018
587 N. VENTU PARK ROAD., SUITE C, NEWBERRY PARK, CA 91320(805) 499-1253(805) 499-1453 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 23, 2019, Dec 4, 2018 (2 updates tracked since 2018).

About Community Dental Group, Inc. NPPES

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

COMMUNITY DENTAL GROUP, INC. (NPI 1548730450) is a healthcare organization registered as a preferred provider organization in Newberry Park, California and active in the NPI registry since December 2018. The organization lists Pedram Mastour, Owner, as its authorized official.

NPPES Registry Identity

NPI1548730450
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameMASTOUR & FARD DENTAL CORP
Location Address587 N. VENTU PARK ROAD., SUITE CNewberry Park, CA 91320
Mailing Address5620 Sawtelle BlvdCulver City, CA 90230-5508 · (310) 390-6212 · Fax (310) 390-6215
Phone(805) 499-1253
Fax(805) 499-1453
Organization SubpartNo
Authorized OfficialPedram MastourOwner · (310) 804-0414
Enumeration DateDecember 4, 2018
Last NPPES UpdateOctober 23, 20192 updates tracked since enumeration
✔ NPI 1548730450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
587 N. VENTU PARK ROAD., Newberry Park, CA 91320
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Other Names 1

Doing Business AsCommunity Dental Group, Inc.

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 Mastour & Fard Dental Corp's NPI number?

The NPI number for Mastour & Fard Dental Corp is 1548730450. It was assigned to this organization in the NPPES registry on December 4, 2018. The provider is doing business as Community Dental Group, Inc..

Where is Mastour & Fard Dental Corp located?

Mastour & Fard Dental Corp is located at 587 N. Ventu Park Road. Suite C, Newberry Park, CA 91320. The listed phone number is (805) 499-1253.

What is Mastour & Fard Dental Corp's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

What insurance does Mastour & Fard Dental Corp accept?

Health plans from UnitedHealthcare list Mastour & Fard 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 Mastour & Fard Dental Corp was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.