MIRHAMID SALEK, DDS, PROFESSIONAL CORPORATION
NPI 1780194985
Clinic/Center - Dental in West Covina, CA

Active since October 03, 2017
628 N AZUSA AVE, WEST COVINA, CA 91791(626) 966-8408 Get Directions Write a Review

NPPES record last updated: October 3, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mirhamid Salek, Dds, Professional Corporation NPPES

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

MIRHAMID SALEK, DDS, PROFESSIONAL CORPORATION (NPI 1780194985) is a healthcare organization registered as a dental in West Covina, California and active in the NPI registry since October 2017. The organization lists Mirhamid Salek, President, as its authorized official.

NPPES Registry Identity

NPI1780194985
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMIRHAMID SALEK, DDS, PROFESSIONAL CORPORATION
Location Address628 N AZUSA AVEWest Covina, CA 91791-1148
Mailing Address1021 Calle SonrisaGlendale, CA 91208-3036 · (626) 644-8618
Organization SubpartNo
Authorized OfficialMirhamid SalekPresident · (626) 644-8618
Enumeration DateOctober 3, 2017
✔ NPI 1780194985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses✔ Licensed in WA · DE60319906✔ Licensed in CA · 64405
628 N AZUSA AVE, West Covina, CA 91791

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirhamid Salek, Dds, Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mirhamid Salek, DDS, Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1275969156
628 N AZUSA AVE
West Covina, CA 91791
(626) 966-8408
✔ PECOS1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mirhamid Salek, Dds, Professional Corporation's NPI number?

The NPI number for Mirhamid Salek, Dds, Professional Corporation is 1780194985. It was assigned to this organization in the NPPES registry on October 3, 2017.

Where is Mirhamid Salek, Dds, Professional Corporation located?

Mirhamid Salek, Dds, Professional Corporation is located at 628 N Azusa Ave, West Covina, CA 91791. The listed phone number is (626) 966-8408.

What is Mirhamid Salek, Dds, Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Is Mirhamid Salek, Dds, Professional Corporation enrolled in Medicare?

Yes. Mirhamid Salek, Dds, Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mirhamid Salek, Dds, Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Mirhamid Salek, Dds, Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mirhamid Salek, Dds, Professional Corporation accept?

Health plans from UnitedHealthcare list Mirhamid Salek, Dds, Professional Corporation 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 Mirhamid Salek, Dds, Professional Corporation was last updated on October 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.