Active NPI
Sara E Soumeeh, DMD
- Endodontics
- Valencia, CA
National Provider Identifier
1275054066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DDS100920
- Practice address
- 27421 Tourney Rd Ste 100
Valencia, CA 91355-5646 - Phone
- (310) 754-6143
- NPI assigned
- Jun 30, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN22169 | FL | |
| Endodontics | 1223E0200X | DDS100920 | CA | Primary |
Addresses
Primary practice location
27421 Tourney Rd Ste 100
Valencia, CA 91355-5646
Mailing address
27421 Tourney Rd Ste 100
Valencia, CA 91355-5646
Phone (310) 754-6143
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 |
|---|---|---|---|
| DDS100920 | CA | MD | Endodontist |
| DN22169 | FL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1275054066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27421 TOURNEY RD STE 100",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555646",
"telephone_number": "310-754-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27421 TOURNEY RD STE 100",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555646",
"telephone_number": "310-754-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUMEEH",
"first_name": "SARA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN22169",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "DDS100920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
- Robbie Kaveh Sooriash, M.D.
- Susan Lynn Soppe, P.T.
- Patrizia Sorge, LCSW
- Lira Bumanlag Soriano
- Guadalupe Rebeca Sosa Rodriguez
- Southern California Orthopedic Institute, LP
- Southern California Orthopedic Institute, LP
- Southern California Psychology Group, Inc.
- Raiven Alexandria Sowell
- Chelsea Spagnola, MS, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.