Individual provider Active NPI

Sona Galstian, D.M.D.

  • Dentist
  • Palmdale, CA
National Provider Identifier
1093246100
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
103037 Issued in CA
Practice address
38209 47TH St E Ste E
Palmdale, CA 93552
Phone
(661) 236-0046
NPI assigned
Mar 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Dentist 122300000X 103037 CA Primary

Addresses

Primary practice location

38209 47TH St E Ste E
Palmdale, CA 93552

Mailing address

38209 47TH St E Ste E
Palmdale, CA 93552-3113
Phone (661) 236-0046

Other practice location 1

500 Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646

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
I20181108001514 CA Order and Referring Only - DentistPractitioner - Dentist 2860746906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103037CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Yasmin Easley Dental Corporation Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093246100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38209 47TH ST E STE E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935523113",
            "telephone_number": "661-236-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38209 47TH ST E STE E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93552",
            "telephone_number": "661-236-0046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Winslow",
            "state": "AZ",
            "postal_code": "860472169",
            "country_code": "US",
            "telephone_number": "928-289-4646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALSTIAN",
        "first_name": "SONA",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.