OrganizationActive
Shiva Mohtasham DDS, Inc
NPI 1619349511 · Dentist · San Ramon, CA
Shiva Mohtasham DDS, Inc is a Dentist organization in San Ramon, CA (NPI 1619349511).
Provider details
- NPI number
- 1619349511
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Shiva Mohtasham, Owner(510) 857-7544
- License
- 51976 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1501 Bollinger Canyon Rd Ste F
San Ramon, CA 94583-1758
Phone: (510) 857-7544
Fax: (925) 208-1852
Approximate (ZIP-level) locationGet directions
Mailing address
2887 Fieldview Ter
San Ramon, CA 94583-1900
Other names (DBA / former)
- Doing business as
- Shine on Dental Group
Registry dates
- Enumerated
- 2015-10-30
- Last updated
- 2015-10-30
Frequently asked questions
- What is Shiva Mohtasham DDS, Inc's NPI number?
- Shiva Mohtasham DDS, Inc's National Provider Identifier (NPI) is 1619349511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shiva Mohtasham DDS, Inc?
- Shiva Mohtasham DDS, Inc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Shiva Mohtasham DDS, Inc located?
- Shiva Mohtasham DDS, Inc's practice location on file with NPPES is 1501 Bollinger Canyon Rd Ste F, San Ramon, CA 94583-1758.
- What is Shiva Mohtasham DDS, Inc's phone number?
- The practice phone number listed in the NPPES registry for Shiva Mohtasham DDS, Inc is (510) 857-7544.
- Who is the authorized official for Shiva Mohtasham DDS, Inc?
- The authorized official listed on Shiva Mohtasham DDS, Inc's NPPES record is Shiva Mohtasham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shiva Mohtasham DDS, Inc's NPI active?
- Yes — Shiva Mohtasham DDS, Inc's NPI (1619349511) is active in the NPPES registry as of the last update on 2015-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.