Sarabjit Massoun, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55482 Issued in CA

Practice address

16953 Sierra Lakes Pkwy
#110
Fontana, CA 92336-1272

Phone

(909) 357-3900

NPI assigned

Apr 29, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1386819464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16953 SIERRA LAKES PKWY",
            "address_2": "#110",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361272",
            "telephone_number": "909-357-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16953 SIERRA LAKES PKWY",
            "address_2": "#110",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361272",
            "telephone_number": "909-357-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOUN",
        "first_name": "SARABJIT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Martinez
• Stephanie J Martinez, MD
• Madonna Sue Mashburn, PHARMD
• Tracy Levett Mason, PMHNP-BC
• Joshua Massie
• Dolores Maria Mast, LCSW 63286
• Lauren Matsumoto, CPNP
• Matt-Phuoc Trinh, DMD DDS, Inc
• Peter N. Mattar, MD
• Michael Scott Mattice

• General Practice Dentistry in Fontana, CA
• Providers in Fontana, 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 Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.