Azin Sharif I, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

107246 Issued in CA

Practice address

10 Calle Albarda
Rancho Santa Margarita, CA 92688-2310

Phone

(949) 529-2000

NPI assigned

Jan 12, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sharif Dental Corp

  • Dentist
  • Irvine, CA
  • NPI 1760325591
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1023769908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE ALBARDA",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882310",
            "telephone_number": "949-529-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE ALBARDA",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882310",
            "telephone_number": "949-529-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIF",
        "first_name": "AZIN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107246",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serve California LLC
• Melissa Sexton
• Shahrzad Yazdan OD Inc
• Amanda Jane Shanklin, MPAP, PA-C
• Kaitlin Joy Shao
• William Sherwin
• Kimberly Shibuya, D.P.T.
• Scott Shiffman, MD
• Adam D Shilling, PHYSICAL THERAPIST
• Shine & Grow LLC

• Dentist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.