OrganizationActive
San Dimas Periodontics
NPI 1033261391 · Periodontics · San Dimas, CA
San Dimas Periodontics is a Periodontics organization in San Dimas, CA (NPI 1033261391).
Provider details
- NPI number
- 1033261391
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Mohamed Kayali, President(909) 599-9510
- License
- 44495 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 W Covina Blvd Ste 220
San Dimas, CA 91773-3205
Phone: (909) 599-9510
Fax: (909) 599-1610
Street-level locationGet directions
Mailing address
1111 W Covina Blvd Ste 220
San Dimas, CA 91773-3205
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2020-08-22
Frequently asked questions
- What is San Dimas Periodontics's NPI number?
- San Dimas Periodontics's National Provider Identifier (NPI) is 1033261391, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Dimas Periodontics?
- San Dimas Periodontics is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is San Dimas Periodontics located?
- San Dimas Periodontics's practice location on file with NPPES is 1111 W Covina Blvd Ste 220, San Dimas, CA 91773-3205.
- What is San Dimas Periodontics's phone number?
- The practice phone number listed in the NPPES registry for San Dimas Periodontics is (909) 599-9510.
- Who is the authorized official for San Dimas Periodontics?
- The authorized official listed on San Dimas Periodontics's NPPES record is Mohamed Kayali, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Dimas Periodontics's NPI active?
- Yes — San Dimas Periodontics's NPI (1033261391) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.