Active NPI
Niousha Saghafi, DDS, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fairfield, CA
National Provider Identifier
1275994154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DDS100806
- Practice address
- 1411 Oliver Rd Ste 330
Fairfield, CA 94534-3425 - Phone
- (707) 428-3200
- NPI assigned
- Mar 18, 2016
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DDS100806 | CA | Primary |
Addresses
Primary practice location
1411 Oliver Rd Ste 330
Fairfield, CA 94534-3425
Mailing address
2321 Banbury Loop
Martinez, CA 94553-6703
Phone (818) 430-1083
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170117001923 | CA | Order and Referring Only - Other (Physician) | 6800178476 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS100806 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niousha Saghafi, DDS, MSD, Inc. | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Nancy H. Le, DDS, Ms, Inc. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Locations
1411 Oliver Rd
Ste 330
Fairfield, CA 94534
Phone (707) 428-3200
Organizations & group practices 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fairfield, CA
- NPI 1043902257
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fairfield, CA
- NPI 1245738947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1275994154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 BANBURY LOOP",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945536703",
"telephone_number": "818-430-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 OLIVER RD STE 330",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945343425",
"telephone_number": "707-428-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGHAFI",
"first_name": "NIOUSHA",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-18",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "DDS100806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.