Sohrab Danaei, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS110063 Issued in CA

Practice address

476 E. Washington
Earlimart, CA 93219-5343

Phone

(800) 492-4227

NPI assigned

Jun 30, 2022

Last updated

Jun 28, 2024By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Az Premier House Call Dentistry PLLC

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1447951561
  NPD (past)

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1336871052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 E. WASHINGTON",
            "city": "EARLIMART",
            "state": "CA",
            "postal_code": "932195343",
            "telephone_number": "800-492-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 E. WASHINGTON",
            "city": "EARLIMART",
            "state": "CA",
            "postal_code": "932195343",
            "telephone_number": "800-492-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANAEI",
        "first_name": "SOHRAB",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS110063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Araujo, BCBA
• Ruth Malaina Ayala
• Irene Cabanillas
• Jessica Careon
• Lorena Contreras
• Earlimart Elementary School District
• Lindsey Victoria Garibay
• Jennifer Esmeralda Gonzalez
• Vanessa Hernandez
• Imgrx SJ Valley, Inc. (United Health Centers Pharmacy Earlimart)

• General Practice Dentistry in Earlimart, CA
• Providers in Earlimart, 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 Jun 28, 2024; 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.