NPIMap

Organization Active NPI

Sedigheh Roya Sadrian, DDS, Inc.

  • Pediatric Dentistry
  • San Diego, CA
National Provider Identifier
1316289200
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
48544 Issued in CA
Legal business name
SEDIGHEH ROYA SADRIAN, DDS, INC.
Doing business as
ABC Children's Dentistry
Practice address
12778 Rancho Penasquitos Blvd Ste a
San Diego, CA 92129-2947
Phone
(858) 780-9794
Fax
(858) 780-9690
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Dr. Sedigheh Roya Sadrian, DDSNPI 1801812474
Title
President
Phone
(858) 780-9794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 48544 CA Primary

Addresses

Primary practice location

12778 Rancho Penasquitos Blvd Ste a
San Diego, CA 92129-2947

Mailing address

12778 Rancho Penasquitos Blvd Ste a
San Diego, CA 92129-2947
Phone (858) 780-9794

Other names 1

  • ABC Children's Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

12778 Rancho Penasquitos Blvd
Ste A
San Diego, CA 92129
Phone (858) 780-9794

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1316289200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12778 RANCHO PENASQUITOS BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292947",
            "telephone_number": "858-780-9794",
            "fax_number": "858-780-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12778 RANCHO PENASQUITOS BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292947",
            "telephone_number": "858-780-9794",
            "fax_number": "858-780-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDIGHEH ROYA SADRIAN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "SADRIAN",
        "authorized_official_first_name": "SEDIGHEH",
        "authorized_official_middle_name": "ROYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-780-9794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "48544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.