Active NPI
Valery Saikaly, DDS
- Dentist
- Rancho Cucamonga, CA
National Provider Identifier
1316552391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105492
- Practice address
- 13714 Smokestone St
Rancho Cucamonga, CA 91739-2078 - Phone
- (626) 377-0527
- NPI assigned
- Sep 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 105492 | CA | Primary |
Addresses
Primary practice location
13714 Smokestone St
Rancho Cucamonga, CA 91739-2078
Mailing address
13714 Smokestone St
Rancho Cucamonga, CA 91739-2078
Phone (626) 377-0527
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240129001601 | CA | Order and Referring Only - Dentist | 1456704253 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105492 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1316552391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13714 SMOKESTONE ST",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917392078",
"telephone_number": "626-377-0527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13714 SMOKESTONE ST",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917392078",
"telephone_number": "626-377-0527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAIKALY",
"first_name": "VALERY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2020-09-15",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.