Individual provider Active NPI

Avani Sarvaiya, DDS

  • Dentist
  • Orange, CA
National Provider Identifier
1053590067
Registry record updated Aug 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56521 Issued in CA
Practice address
1916 N Tustin St
Orange, CA 92865-4644
Phone
(714) 289-5009
Fax
(323) 751-2853
NPI assigned
Oct 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56521 CA Primary

Addresses

Primary practice location

1916 N Tustin St
Orange, CA 92865-4644

Mailing address

6121 Glade Ave Apt B205
Woodland Hills, CA 91367-3503

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250923004095 CA Practitioner - Dentist 0143725945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1916 N Tustin St
Orange, CA 92865-4644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sarvaiya Dental Corp CurrentSince Aug 28, 2022 Accepting new patients
Avani Sarvaiya DDS Inc CurrentSince Mar 1, 2017 Accepting new patients
Sarvaiya Family Dental, Inc. Current Accepting new patients
Western Dental Services, Inc. Past Accepting new patients

Locations

22951 Los Alisos Blvd
Ste 2
Mission Viejo, CA 92691
Phone (949) 380-9506

1916 N Tustin St
Orange, CA 92865
Phone (714) 282-9966

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1053590067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 GLADE AVE APT B205",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928654644",
            "telephone_number": "714-289-5009",
            "fax_number": "323-751-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARVAIYA",
        "first_name": "AVANI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.