OrganizationActive
Del Mar Pediatric & Adolescents Dental Group
NPI 1972830180 · Dental Clinic/Center · San Diego, CA
Provider details
- NPI number
- 1972830180
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Soudabeh Sharafi, Dentist(858) 259-1400
- License
- 52929 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
12750 Carmel Country Rd Ste 215
San Diego, CA 92130-2172
Phone: (858) 259-1400
Fax: (858) 259-1401
Street-level locationGet directions
Mailing address
12750 Carmel Country Rd Ste 215
San Diego, CA 92130-2172
Registry dates
- Enumerated
- 2009-11-09
- Last updated
- 2009-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.