Active NPI
Sandra Judy Sarmiento, DDS
- Dentist
- Santa Ana, CA
National Provider Identifier
1275740722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 51648
- Practice address
- 1701 N Main St
Suite 100
Santa Ana, CA 92706-2745 - Phone
- (714) 667-0367
- Fax
- (714) 667-0360
- NPI assigned
- May 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 51648 | CA | Primary |
Addresses
Primary practice location
1701 N Main St
Suite 100
Santa Ana, CA 92706-2745
Mailing address
37 Arnold Way
Irvine, CA 92602-0748
Phone (714) 731-5026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295863165 | Other | CA | MEDICAL PROVIDER |
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 |
|---|---|---|---|
| 51648 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarmiento and Chara DDS Inc. | Dentist | 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.
-
- Dentist
- Santa Ana, CA
- NPI 1295863165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275740722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 ARNOLD WAY",
"city": "IRVINE",
"state": "CA",
"postal_code": "926020748",
"telephone_number": "714-731-5026",
"fax_number": "714-667-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N MAIN ST",
"address_2": "SUITE 100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927062745",
"telephone_number": "714-667-0367",
"fax_number": "714-667-0360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARMIENTO",
"first_name": "SANDRA",
"middle_name": "JUDY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "51648",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROVIDER",
"identifier": "1295863165",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, 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.