Active NPI
Zainab Nasafi, DDS
- Dentist
- North Highlands, CA
National Provider Identifier
1336607241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS105547
- Practice address
- 4815 Watt Ave
North Highlands, CA 95660-5108 - Phone
- (855) 354-2242
- Fax
- (916) 890-3828
- NPI assigned
- Mar 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | DDS105547 | CA | Primary |
Addresses
Primary practice location
4815 Watt Ave
North Highlands, CA 95660-5108
Mailing address
3512 Nathalie CT
Roseville, CA 95747-9153
Phone (916) 873-7893
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 |
|---|---|---|---|---|
| I20201202000251 | CA | Order and Referring Only - Dentist | 0244641926 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS105547 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1336607241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3512 NATHALIE CT",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957479153",
"telephone_number": "916-873-7893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 WATT AVE",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956605108",
"telephone_number": "855-354-2242",
"fax_number": "916-890-3828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASAFI",
"first_name": "ZAINAB",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-10",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS105547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Highlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.