DR. SHIDROKH MAFI DDS
NPI 1720295348
Dentist in Lake Forest, CA

Active since May 16, 2007PECOS Enrolled
23704 EL TORO RD, SUITE A, LAKE FOREST, CA 92630(949) 770-9355(949) 770-9356 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shidrokh Mafi Dds NPPES

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

DR. SHIDROKH MAFI DDS (NPI 1720295348) is an individual dentist in Lake Forest, California, licensed in California (55055) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720295348
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SHIDROKH MAFICredential: DDS
Location Address23704 EL TORO RD, SUITE ALake Forest, CA 92630-8906
Mailing Address23704 El Toro Rd, Suite ALake Forest, CA 92630-8906 · (949) 770-9355 · Fax (949) 770-9356
Fax(949) 770-9356
Sole ProprietorNo
Enumeration DateMay 16, 2007
Last NPPES UpdateMarch 3, 2016
NPI 1720295348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 55055
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.
23704 EL TORO RD, Lake Forest, CA 92630

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Shidrokh Mafi 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 92630 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

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

Dentist (General Practice)
23704 EL TORO RD, SUITE A
LAKE FOREST, CA 92630

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 Shidrokh Mafi's NPI number?

The NPI number for Shidrokh Mafi is 1720295348. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Shidrokh Mafi located?

Shidrokh Mafi practices at 23704 El Toro Rd Suite A, Lake Forest, CA 92630. The listed phone number is (949) 770-9355.

What is Shidrokh Mafi's specialty?

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

Is Shidrokh Mafi enrolled in Medicare?

Yes. Shidrokh Mafi is registered in the Medicare PECOS enrollment system.

What insurance does Shidrokh Mafi accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Shidrokh Mafi 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 Shidrokh Mafi was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.