Active NPI
Sona Asatryan DDS Professional Corp
- Dentist
- Pasadena, CA
National Provider Identifier
1396624912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SONA ASATRYAN DDS PROFESSIONAL CORP
- Practice address
- 301 S Fair Oaks Ave Ste 206
Pasadena, CA 91105-2536 - Phone
- (626) 431-2654
- Fax
- (626) 431-2811
- NPI assigned
- Aug 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sona Asatryan
- Title
- Dentist
- Phone
- (626) 431-2654
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
301 S Fair Oaks Ave Ste 206
Pasadena, CA 91105-2536
Mailing address
301 S Fair Oaks Ave Ste 206
Pasadena, CA 91105-2536
Phone (626) 431-2654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114252384 | Medicaid | CA |
Other names 1
- Fair Oaks Dental Group
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- North Hollywood, CA
- NPI 1114252384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756339200000",
"number": "1396624912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S FAIR OAKS AVE STE 206",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052536",
"telephone_number": "626-431-2654",
"fax_number": "626-431-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S FAIR OAKS AVE STE 206",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052536",
"telephone_number": "626-431-2654",
"fax_number": "626-431-2811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONA ASATRYAN DDS PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-28",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A",
"authorized_official_last_name": "ASATRYAN",
"authorized_official_first_name": "SONA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "626-431-2654"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114252384",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fair Oaks Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.