Individual provider Active NPI

Safa Jamil

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1245116409
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
112158 Issued in CA
Practice address
2654 Marconi Ave Ste 100
Sacramento, CA 95821-5109
Phone
(916) 437-0157
NPI assigned
Aug 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 112158 CA Primary

Addresses

Primary practice location

2654 Marconi Ave Ste 100
Sacramento, CA 95821-5109

Mailing address

18036 Saratoga Los Gatos Rd
Monte Sereno, CA 95030-4227
Phone (408) 341-5457

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

LicenseStateTypeSpecialty
112158CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dinea-Berci Dental Corporation CurrentSince Aug 17, 2025 Accepting new patients

Locations

2654 Marconi Ave
Ste 100
Sacramento, CA 95821
Phone (916) 437-0157

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.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1245116409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18036 SARATOGA LOS GATOS RD",
            "city": "MONTE SERENO",
            "state": "CA",
            "postal_code": "950304227",
            "telephone_number": "408-341-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 MARCONI AVE STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215109",
            "telephone_number": "916-437-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIL",
        "first_name": "SAFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "112158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.