Individual provider Active NPI

Asal Sedghi, D.D.S.

  • General Practice Dentistry
  • Woodland Hills, CA
National Provider Identifier
1306193222
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61750 Issued in CA
Practice address
4854 Alatar Dr
Woodland Hills, CA 91364-4329
Phone
(818) 259-5318
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61750 CA Primary

Addresses

Primary practice location

4854 Alatar Dr
Woodland Hills, CA 91364-4329

Mailing address

4854 Alatar Dr
Woodland Hills, CA 91364-4329
Phone (818) 259-5318

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
I20200407002966 CA Practitioner - Oral SurgeryPractitioner - Dentist 4486083722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61750CAMDOncology Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1306193222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4854 ALATAR DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644329",
            "telephone_number": "818-259-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4854 ALATAR DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644329",
            "telephone_number": "818-259-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDGHI",
        "first_name": "ASAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.