Mike Mais Sagarian, DDS.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43655 Issued in CA

Practice address

1229 7-TH St.
Wasco, CA 93280

Phone

(661) 758-5338

Fax

(661) 758-8150

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mais Sagharian Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sagarian,a Professional Dental Corporation

  • General Practice Dentistry
  • Wasco, CA
  • NPI 1568722437
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396876397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 7-TH ST.",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "93280",
            "telephone_number": "661-758-5338",
            "fax_number": "661-758-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 7-TH ST.",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "93280",
            "telephone_number": "661-758-5338",
            "fax_number": "661-758-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGARIAN",
        "first_name": "MIKE",
        "middle_name": "MAIS",
        "credential": "DDS.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43655",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4728T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PROVIDER NUMBER",
            "identifier": "G9168202",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAIS",
            "last_name": "SAGHARIAN",
            "credential": "DDS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jocelyn Ruano
• Nimotalai Bukky Rufai
• Derrick C Rufus, PSYD
• Agatha Ruiz-Gutierrez
• Arie Rynders, DDS
• Sagarian,a Professional Dental Corporation
• Michael J Salinas
• Carolina Salto, MSW
• Ashley Sanchez, ASW
• Isaac Sanchez, M.D.

• General Practice Dentistry in Wasco, CA
• Providers in Wasco, 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 Jul 8, 2007; 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.