Individual provider Active NPI

Sebastien Eric Darbouze, DDS

  • General Practice Dentistry
  • Palmdale, CA
National Provider Identifier
1316726821
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
109280 Issued in CA
Practice address
2151 E Palmdale Blvd
Palmdale, CA 93550-4037
Phone
(661) 485-7500
NPI assigned
Sep 25, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 109280 CA Primary

Addresses

Primary practice location

2151 E Palmdale Blvd
Palmdale, CA 93550-4037

Mailing address

1515 Larkfield Ave
Westlake Village, CA 91362-4242
Phone (818) 935-9875

Other practice location 1

45124 10th St W
Lancaster, CA 93534-2310
Phone (661) 941-9543 ext. 6300

Other practice location 2

1760 E Avenida De Los Arboles Ste A
Thousand Oaks, CA 91362-1392
Phone (805) 493-5200

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
I20240604001523 CA Order and Referring Only - DentistPractitioner - Dentist 7315390978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lambridis Dental Corporation General Practice PastSince Oct 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sebastien.darbouzedds.p1@direct.jwch.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1316726821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LARKFIELD AVE",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624242",
            "telephone_number": "818-935-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 E PALMDALE BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504037",
            "telephone_number": "661-485-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45124 10th St W",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342310",
            "country_code": "US",
            "telephone_number": "661-941-9543 x6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 E Avenida De Los Arboles Ste A",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913621392",
            "country_code": "US",
            "telephone_number": "805-493-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARBOUZE",
        "first_name": "SEBASTIEN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.