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

Q: What is Mahsa Sadat Jafari's NPI number?

The NPI number for Mahsa Sadat Jafari is 1962139766. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Q: What is Mahsa Sadat Jafari's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

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: August 16, 2026.

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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

Phone(707) 396-5151

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

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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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 95401 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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 13

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

EDMEE MARGUERITE DANAN MD

Neuromusculoskeletal Medicine & OMM