Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shiva Mohtasham DDS, Inc

Organization Dentist · NPI 1619349511

Shiva Mohtasham DDS, Inc is a Dentist in San Ramon, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1501 Bollinger Canyon Rd Ste F
San Ramon, CA 94583-1758
Phone: (510) 857-7544
Fax: (925) 208-1852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 51976 (CA)

Record details

NPI number1619349511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shiva Mohtasham — Owner · (510) 857-7544
Other names Shine On Dental Group
NPI enumeratedOctober 30, 2015
Last updated in NPPESOctober 30, 2015
Mailing address2887 Fieldview Ter, San Ramon, CA 94583-1900

Other providers in San Ramon