Active NPI
Leyla Sahabi
- Dentist
- Pleasanton, CA
National Provider Identifier
1063764868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62728
- Practice address
- 6766 Bernal Ave
Pleasanton, CA 94566-1218 - Phone
- (925) 461-3100
- NPI assigned
- Oct 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1856143 | MA | |
| Dentist | 122300000X | 62728 | CA | Primary |
Addresses
Primary practice location
6766 Bernal Ave
Pleasanton, CA 94566-1218
Mailing address
431 El Camino Real Apt 4402
Santa Clara, CA 95050-7418
Phone (818) 634-2048
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150806009702 | CA | Order and Referring Only - Dentist | 3971817867 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62728 | CA | MD | Dentist |
| DN1856143 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1063764868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 EL CAMINO REAL APT 4402",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950507418",
"telephone_number": "818-634-2048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6766 BERNAL AVE",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945661218",
"telephone_number": "925-461-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAHABI",
"first_name": "LEYLA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1856143",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.