Sarah Sultani

Primary specialty

DentistTaxonomy code 122300000X

License

109117 Issued in CA

Practice address

2236 E Lincoln Ave
Anaheim, CA 92806-4107

Phone

(714) 461-3966

NPI assigned

Aug 17, 2023

Last updated

Aug 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

State licenses

Practice roles

Locations

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

• Sumeet Pandhoh Dental Corporation

  dba Anaheim Modern Dentistry Dental Group

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1790354587
  NPD

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1023891470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14105 SPECTRUM",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 E LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064107",
            "telephone_number": "714-461-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTANI",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Kai Sullivan, RADT
• Bryce Sullivan
• Kevin Sullivan
• Paula Sullivan
• Michael Sultan, MD
• Jennifer Lee Sum
• Joseph Y.C. Sum, D.D.S.
• Alwyn Teano Sumabat, MD
• Sumeet Pandhoh Dental Corporation (Anaheim Modern Dentistry Dental Group)
• Dima Summakia

• Dentist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.