Individual provider Active NPI

Leila Zahedi, D.D.S.

  • Endodontics
  • San Francisco, CA
National Provider Identifier
1073885265
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
60384 Issued in CA
Practice address
415 Bryant St
Apt.3
San Francisco, CA 94107-3601
Phone
(917) 710-3305
Fax
(973) 556-1269
NPI assigned
Feb 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 60384 CA Primary

Addresses

Primary practice location

415 Bryant St
Apt.3
San Francisco, CA 94107-3601

Mailing address

415 Bryant St
Apt.3
San Francisco, CA 94107-3601
Phone (917) 710-3305

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

LicenseStateTypeSpecialty
60384CAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1073885265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BRYANT ST",
            "address_2": "APT.3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073601",
            "telephone_number": "917-710-3305",
            "fax_number": "973-556-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BRYANT ST",
            "address_2": "APT.3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073601",
            "telephone_number": "917-710-3305",
            "fax_number": "973-556-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHEDI",
        "first_name": "LEILA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "60384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.