Randall A Sagisi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

63715 Issued in CA

Practice address

38750 Trade Center Dr
Suite J
Palmdale, CA 93551-3787

Phone

(661) 267-6400

NPI assigned

Mar 22, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Randall Sagisi Professional Dental Corporation

  • General Practice Dentistry
  • Valencia, CA
  • NPI 1780455766
  NPD Authorized official
• Thanh Q. Nguyen Dental Corporation

  dba Antelope Valley Sun Dental

  • General Practice Dentistry
  • Palmdale, CA
  • NPI 1821216623
  NPD (past)

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1285976795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38750 TRADE CENTER DR",
            "address_2": "SUITE J",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513787",
            "telephone_number": "661-267-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38750 TRADE CENTER DR",
            "address_2": "SUITE J",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513787",
            "telephone_number": "661-267-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGISI",
        "first_name": "RANDALL",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadek DDS Inc.,
• Shahin Abraham Sadik, M.D., QME.
• Caitlyn M Saenz
• Cheryl Saenz
• Sagisi DMD Inc (Prestige Dental Care)
• Sahawneh Dental Corporation (Bright Now Dental - Palmdale)
• Jim Alex Salamon, RPH
• Ana Karen Salas Ramirez, DDS
• Bryan Salazar
• Edwin Salazar

• Dentist in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.

Verify at the official NPI Registry.