Sandra Fouladi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

62319 Issued in CA

Practice address

3500 S Bristol St Ste 100
Santa Ana, CA 92704-7319

Phone

(714) 957-6030

NPI assigned

Jul 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sandra Binus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Christy K. Rollofson, DDS, Inc

  • Dental Clinic/Center
  • Elk Grove, CA
  • NPI 1063286144
  NPD Authorized official
• Scripps Family Dental Partnership

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1083373096
  NPD Authorized official

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1174723449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WINDCHIME",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926030637",
            "telephone_number": "310-889-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S BRISTOL ST STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047319",
            "telephone_number": "714-957-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULADI",
        "first_name": "SANDRA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18131",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "BINUS",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ross James Fortier
• Jade Fosburgh, PA-C
• Alyssa Fossum
• Andrea Carol-Bredemeier Foster, RN,MSN, CSN
• Eric Matthew Foti
• Maren Helena Founds, MSW
• Michael Henry Foust, PHD
• Nelly Fowler, DENTIST
• Emily Faith Fox
• Jason Walker Fox

• Dentist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.