Active NPI
Afsaneh Mazaheri-Sichani
- Dentist
- San Fernando, CA
National Provider Identifier
1386042166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64212
- Practice address
- 777 Turman St.
Suite 107
San Fernando, CA 91340 - Phone
- (703) 244-3577
- NPI assigned
- Dec 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401414582 | VA | |
| Dentist | 122300000X | 64212 | CA | Primary |
Addresses
Primary practice location
777 Turman St.
Suite 107
San Fernando, CA 91340
Mailing address
777 Truman St
Suite 107
San Fernando, CA 91340-3382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401414582 | VA | MD | Dentist |
| 64212 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1386042166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 TRUMAN ST",
"address_2": "SUITE 107",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913403382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 TURMAN ST.",
"address_2": "SUITE 107",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "91340",
"telephone_number": "703-244-3577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZAHERI-SICHANI",
"first_name": "AFSANEH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-11",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401414582",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.