Active NPI
Sepehr Sadeghpour, DDS
- General Practice Dentistry
- Bell, CA
National Provider Identifier
1043306475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39076
- Practice address
- 3826 Florence Ave
Bell, CA 90201-3320 - Phone
- (323) 582-1999
- Fax
- (323) 582-2595
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 39076 | CA | Primary |
Addresses
Primary practice location
3826 Florence Ave
Bell, CA 90201-3320
Mailing address
6918 Rugby Ave
Huntington Park, CA 90255-4722
Phone (310) 663-6631
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 |
|---|---|---|---|
| 39076 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381363200000",
"number": "1043306475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6918 RUGBY AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554722",
"telephone_number": "310-663-6631",
"fax_number": "323-582-2595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3826 FLORENCE AVE",
"city": "BELL",
"state": "CA",
"postal_code": "902013320",
"telephone_number": "323-582-1999",
"fax_number": "323-582-2595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADEGHPOUR",
"first_name": "SEPEHR",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2013-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "39076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.