MAHSA SADAT JAFARI
NPI 1962139766
Dentist - General Practice in Santa Rosa, CA

Active since August 02, 2022PECOS Enrolled
1110 N DUTTON AVE, SANTA ROSA, CA 95401(707) 396-5151 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mahsa Sadat Jafari NPPES

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

MAHSA SADAT JAFARI (NPI 1962139766) is an individual general practice provider in Santa Rosa, California, licensed in California (107712) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962139766
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMAHSA SADAT JAFARI
Location Address1110 N DUTTON AVESanta Rosa, CA 95401-4606
Mailing Address1527 Range Ave Apt 3Santa Rosa, CA 95401-4230 · (408) 646-3786
Sole ProprietorNo
Enumeration DateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
NPI 1962139766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 107712
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1110 N DUTTON AVE, Santa Rosa, CA 95401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mahsa Sadat Jafari 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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 95401 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $96.16
  • Minimum New Patient Price $63.04
  • Maximum New Patient Price $187.01
  • Average New Patient Copayment $24.04
  • Minimum New Patient Copayment $15.76
  • Maximum New Patient Copayment $46.75

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $77.94
  • Minimum Established Patient Price $21.02
  • Maximum Established Patient Price $153.4
  • Average Established Patient Copayment $19.48
  • Minimum Established Patient Copayment $5.25
  • Maximum Established Patient Copayment $38.35

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Physical Therapist
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Family Medicine
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Emergency Medicine
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Family Medicine
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Nurse Practitioner (Family)
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Nurse Practitioner (Family)
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Family Medicine
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Neuromusculoskeletal Medicine & OMM
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Family Medicine
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Nurse Practitioner (Family)
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Physician Assistant (Medical)
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Family Medicine
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Clinic/Center (Federally Qualified Health Center (FQHC))
1110 N DUTTON AVE
SANTA ROSA, CA 95401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962139766, enumerated as an "individual" on August 02, 2022.

The provider is located at 1110 N DUTTON AVE SANTA ROSA, CA 95401 and the phone number is (707) 396-5151.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.