Individual provider Active NPI

Aseel A Sagman, DDS

  • Dentist
  • Redlands, CA
National Provider Identifier
1275938789
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63722 Issued in CA
Practice address
1568 Orange St
Redlands, CA 92374-2274
Phone
(909) 237-6005
Fax
(909) 440-9003
NPI assigned
Oct 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63722 CA Primary

Addresses

Primary practice location

1568 Orange St
Redlands, CA 92374-2274

Mailing address

1568 Orange St
Redlands, CA 92374-2274
Phone (909) 237-6005

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180419001818 CA Order and Referring Only - DentistPractitioner - Dentist 2961765243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1275938789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 ORANGE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742274",
            "telephone_number": "909-237-6005",
            "fax_number": "909-440-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 ORANGE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742274",
            "telephone_number": "909-237-6005",
            "fax_number": "909-440-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGMAN",
        "first_name": "ASEEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.