Individual provider Active NPI

Atriya Salamati, DDS

  • Pediatric Dentistry
  • Rialto, CA
National Provider Identifier
1376975375
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DDS106220 Issued in CA
Practice address
1205 Renaissance Pkwy Ste 240
Rialto, CA 92376-2418
Phone
(425) 308-5342
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60402382 WA
Pediatric Dentistry 1223P0221X DDS106220 CA Primary

Addresses

Primary practice location

1205 Renaissance Pkwy Ste 240
Rialto, CA 92376-2418

Mailing address

5545 Via Verano
Yorba Linda, CA 92887-4931
Phone (425) 308-5342

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
I20211216001896 CA Order and Referring Only - DentistPractitioner - Dentist 5193048411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS106220CAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1376975375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 VIA VERANO",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928874931",
            "telephone_number": "425-308-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 RENAISSANCE PKWY STE 240",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923762418",
            "telephone_number": "425-308-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMATI",
        "first_name": "ATRIYA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60402382",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS106220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

Verify at the official NPI Registry.