Active NPI
Sanah Amir Sohrab, D.D.S
- Pediatric Dentistry
- Burbank, CA
National Provider Identifier
1225237357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 55741
- Practice address
- 1824 W Verdugo Ave
Burbank, CA 91506-2150 - Phone
- (818) 566-8715
- Fax
- (818) 528-8784
- NPI assigned
- Jul 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 55741 | CA | Primary |
Addresses
Primary practice location
1824 W Verdugo Ave
Burbank, CA 91506-2150
Mailing address
1824 West Verdugo Avenue
Burbank, CA 91506
Phone (818) 566-8715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225237357 | Medicaid | CA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanah Amir Sohrab DDS Inc | Pediatric Dentistry | 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 and National Provider Directory roles.
-
- Pediatric Dentistry
- Burbank, CA
- NPI 1447519129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1225237357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 WEST VERDUGO AVENUE",
"city": "BURBANK",
"state": "CA",
"postal_code": "91506",
"telephone_number": "818-566-8715",
"fax_number": "818-528-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 W VERDUGO AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915062150",
"telephone_number": "818-566-8715",
"fax_number": "818-528-8784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOHRAB",
"first_name": "SANAH",
"middle_name": "AMIR",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "55741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225237357",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.