Individual provider Active NPI

Sameen Zarrabi, D.M.D.

  • Pediatric Dentistry
  • Chula Vista, CA
National Provider Identifier
1376835983
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
62983 Issued in CA
Practice address
355 K St
#A
Chula Vista, CA 91911-1209
Phone
(702) 768-2206
NPI assigned
May 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 62983 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

355 K St
#A
Chula Vista, CA 91911-1209

Mailing address

11934 Eastbourne Rd
San Diego, CA 92128-4301
Phone (702) 768-2206

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
I20150916000501 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1951618438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62983CAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1305417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1376835983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11934 EASTBOURNE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284301",
            "telephone_number": "702-768-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 K ST",
            "address_2": "#A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111209",
            "telephone_number": "702-768-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARRABI",
        "first_name": "SAMEEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-15",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "62983",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.