Individual provider Active NPI

Sara Hakimzadeh, DDS

  • General Practice Dentistry
  • Arcadia, CA
National Provider Identifier
1285912048
Registry record updated Aug 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60427 Issued in CA
Practice address
301 W Huntington Dr Ste 509
Arcadia, CA 91007-1510
Phone
(626) 446-3023
NPI assigned
Jul 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60427 CA Primary
General Practice Dentistry 1223G0001X DD3550 NM

Addresses

Primary practice location

301 W Huntington Dr Ste 509
Arcadia, CA 91007-1510

Mailing address

2445 Flintridge Dr
Glendale, CA 91206-1026
Phone (415) 827-3390

Other identifiers 2

IdentifierTypeStateIssuer
DD3550OtherNMNM DENTAL LICENSE NUMBER
60427OtherCACA DENAL LICENSE NUMBER

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
I20150824001941 CA Order and Referring Only - DentistPractitioner - Dentist 5991011793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DD3550NMMDGeneral Practice Dentistry
60427CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadia Family and Cosmetic Dentistry General Practice CurrentSince Aug 8, 2021 Accepting new patients

Locations

301 W Huntington Dr
Ste 509
Arcadia, CA 91007
Phone (626) 445-8690

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.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627776000000",
    "number": "1285912048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 FLINTRIDGE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912061026",
            "telephone_number": "415-827-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR STE 509",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910071510",
            "telephone_number": "626-446-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIMZADEH",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2021-08-01",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60427",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3550",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM DENTAL LICENSE NUMBER",
            "identifier": "DD3550",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DENAL LICENSE NUMBER",
            "identifier": "60427",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.