Soudabeh Sharafi, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

52929 Issued in CA

Practice address

12750 Carmel Country Rd Ste 215
Suite # 215
San Diego, CA 92130-2172

Phone

(858) 259-1400

Fax

(858) 259-1401

NPI assigned

May 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Del Mar Pediatric & Adolescents Dental Group

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1972830180
  NPD (past) Authorized official

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1245289107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 CARMEL COUNTRY RD STE 215",
            "address_2": "SUITE # 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302172",
            "telephone_number": "858-259-1400",
            "fax_number": "858-259-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 CARMEL COUNTRY RD STE 215",
            "address_2": "SUITE # 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302172",
            "telephone_number": "858-259-1400",
            "fax_number": "858-259-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARAFI",
        "first_name": "SOUDABEH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "52929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Shapiro, LMFT
• Stanley Phillip Shapiro, DC
• Warren L. Shapiro, MD
• Andrew Sharabi, M.D., PH.D.
• Arshiya Sharafi, DDS
• Lola Sharapova
• Share Your Care, Inc.
• Kamyar Shareghi
• Daniel Jay Sharer, LMFT
• Hoda Sharghi

• Pediatric Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.