Active NPI
Shohreh Saadat, D.D.S.
- Dentist
- Van Nuys, CA
National Provider Identifier
1235342932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 46216
- Practice address
- 7239 Van Nuys Blvd. #6
Van Nuys, CA 91405 - Phone
- (818) 785-2424
- Fax
- (818) 785-2414
- NPI assigned
- May 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 46216 | CA | Primary |
Addresses
Primary practice location
7239 Van Nuys Blvd. #6
Van Nuys, CA 91405
Mailing address
224 21St. Street
Santa Monica, CA 90402
Phone (310) 451-8026
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46216 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hersel Hanasab D.D.S., Inc. | Dentist | Past | Accepting new patients |
| Hanasab Dental Corp. | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Van Nuys, CA
- NPI 1033274519
-
- Dentist
- North Hollywood, CA
- NPI 1780748137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235342932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 21ST. STREET",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90402",
"telephone_number": "310-451-8026",
"fax_number": "818-765-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7239 VAN NUYS BLVD. #6",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91405",
"telephone_number": "818-785-2424",
"fax_number": "818-785-2414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAADAT",
"first_name": "SHOHREH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "46216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.