Individual provider Active NPI

Kamyar Sadeghein, D.D.S

  • Endodontics
  • Downey, CA
National Provider Identifier
1144584046
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
65343 Issued in CA
Practice address
8077 Florence Ave Ste 101
Downey, CA 90240-3894
Phone
(818) 205-8949
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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 244202
Endodontics 1223E0200X 65343 CA Primary

Addresses

Primary practice location

8077 Florence Ave Ste 101
Downey, CA 90240-3894

Mailing address

8077 Florence Ave Ste 101
Downey, CA 90240-3894
Phone (818) 205-8949

Other practice location 1

12015 Garvey Ave Ste A
El Monte, CA 91732-3156
Phone (626) 522-8998

Other practice location 2

500 N Central Ave
750
Glendale, CA 91203-1902
Phone (818) 551-5055

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
30807TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kamyar Sadeghein DDS, Inc Endodontics CurrentSince Oct 27, 2024 Accepting new patients
Sadeghein Pro Endo Dental Group Inc Endodontics CurrentSince Oct 20, 2024 Accepting new patients
Ahmad Sadeghein DDS Inc Endodontics PastSince Dec 15, 2024 Accepting new patients

Locations

8077 Florence Ave
Ste 101
Downey, CA 90240
Phone (562) 381-2442

12015 Garvey Ave
Ste A
El Monte, CA 91732
Phone (626) 454-1888

Organizations & group practices 3

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1144584046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8077 FLORENCE AVE STE 101",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403894",
            "telephone_number": "818-205-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8077 FLORENCE AVE STE 101",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403894",
            "telephone_number": "818-205-8949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12015 Garvey Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917323156",
            "country_code": "US",
            "telephone_number": "626-522-8998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Central Ave",
            "address_2": "750",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912031902",
            "country_code": "US",
            "telephone_number": "818-551-5055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADEGHEIN",
        "first_name": "KAMYAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "244202",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "65343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.