Kamran Ron Saidara, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38911 Issued in CA

Practice address

2030 West Avenue J
Lancaster, CA 93536

Phone

(661) 949-6757

Fax

(661) 949-0558

NPI assigned

Oct 10, 2006

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

Other identifiers 1

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.

• Lancaster Dental Care Assoc

  • General Practice Dentistry
  • Lancaster, CA
  • NPI 1770606519
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316035181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 WEST AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93536",
            "telephone_number": "661-949-6757",
            "fax_number": "661-949-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 WEST AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93536",
            "telephone_number": "661-949-6757",
            "fax_number": "661-949-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIDARA",
        "first_name": "KAMRAN",
        "middle_name": "RON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DENTICAL",
            "identifier": "B3891102",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primo Sagliocco
• Jasdeep S Sagoo, DDS
• Sachin Saharan
• Sahawneh Dental Corporation
• Gideon Saidara
• Donyanaz Saify, PHARMD
• Ayaka Saito, M.S., CCC-SLP
• Gayle Kikumi Sakaguchi, PA-C, PTA
• Kajal Sakhrani, PSYD
• Nicholas George Salaita, DDS, MD

• General Practice Dentistry in Lancaster, CA
• Providers in Lancaster, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.