Individual provider Active NPI

Sage Kelner

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1396674081
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
110583 Issued in CA
Practice address
8540 S Sepulveda Blvd Ste 1102
Los Angeles, CA 90045-3831
Phone
(310) 641-6369
NPI assigned
May 18, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 110583 CA Primary

Addresses

Primary practice location

8540 S Sepulveda Blvd Ste 1102
Los Angeles, CA 90045-3831

Mailing address

1145 Barry Ave Apt 215
Los Angeles, CA 90049-6234

Other practice location 1

3445 Pacific Coast Hwy Ste 305
Torrance, CA 90505-6660
Phone (310) 539-5566

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

LicenseStateTypeSpecialty
110583CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Saro Setian DDS Dental Corporation General Practice PastSince Oct 10, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1396674081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BARRY AVE APT 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 1102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453831",
            "telephone_number": "310-641-6369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3445 Pacific Coast Hwy Ste 305",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905056660",
            "country_code": "US",
            "telephone_number": "310-539-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELNER",
        "first_name": "SAGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.