Active NPI
Shohreh Sabeti
- Dentist
- West Hollywood, CA
National Provider Identifier
1205974318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 55096
- Practice address
- 9201 W Sunset Blvd Ste 517
West Hollywood, CA 90069-3706 - Phone
- (310) 707-1577
- NPI assigned
- Feb 1, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 55096 | CA | |
| Dentist | 122300000X | 55096 | CA | Primary |
Addresses
Primary practice location
9201 W Sunset Blvd Ste 517
West Hollywood, CA 90069-3706
Mailing address
269 S Beverly Dr
#644
Beverly Hills, CA 90212-3851
Phone (310) 770-0720
Other practice location 1
269 S Beverly Dr
#644
Beverly Hills, CA 90212-3851
Phone (310) 770-0720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D55096 | Medicaid | CA |
Other names 1
- Sabeti Cosmetic Dental Practice
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55096 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1205974318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 S BEVERLY DR",
"address_2": "#644",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123851",
"telephone_number": "310-770-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 W SUNSET BLVD STE 517",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900693706",
"telephone_number": "310-707-1577"
}
],
"practiceLocations": [
{
"address_1": "269 S Beverly Dr",
"address_2": "#644",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902123851",
"country_code": "US",
"telephone_number": "310-770-0720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SABETI",
"first_name": "SHOHREH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "55096",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "55096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D55096",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SABETI",
"last_name": "DENTAL PRACTICE",
"middle_name": "COSMETIC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.