Active NPI
Sunny Afsaneh Safari III, D.D.S
- General Practice Dentistry
- Hayward, CA
National Provider Identifier
1023276250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 41212
- Practice address
- 1041 McKeever Ave
Hayward, CA 94541-4022 - Phone
- (510) 581-1240
- Fax
- (510) 581-4032
- NPI assigned
- May 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 41212 | CA | Primary |
Addresses
Primary practice location
1041 McKeever Ave
Hayward, CA 94541-4022
Mailing address
1041 McKeever Ave
Hayward, CA 94541-4022
Phone (510) 581-1240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41212 | Other | CA | DENTAL LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41212 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1023276250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 MCKEEVER AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414022",
"telephone_number": "510-581-1240",
"fax_number": "510-581-4032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 MCKEEVER AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414022",
"telephone_number": "510-581-1240",
"fax_number": "510-581-4032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFARI",
"first_name": "SUNNY",
"middle_name": "AFSANEH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-23",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "41212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE NUMBER",
"identifier": "41212",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.