NPIMap

Individual provider Active NPI

Sara El-Sherbini, DMD

  • Pediatric Dentistry
  • Perris, CA
National Provider Identifier
1407197288
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
102332 Issued in CA
Practice address
3150 Case Rd BLDG C
Perris, CA 92570-5552
Phone
(951) 345-4386
NPI assigned
Mar 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN20508 FL
General Practice Dentistry 1223G0001X DDS102332 CA
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Dentistry 1223P0221X 102332 CA Primary

Addresses

Primary practice location

3150 Case Rd BLDG C
Perris, CA 92570-5552

Mailing address

3150 Case Rd BLDG C
Perris, CA 92570-5552
Phone (951) 345-4386

Other practice location 1

9349 Foothill Blvd Ste B
Rancho Cucamonga, CA 91730
Phone (909) 980-6363

Other practice location 2

2715 W Bay Dr
Belleair Bluffs, FL 33770-2617
Phone (727) 683-0400

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS102332CAMDGeneral Practice Dentistry
DN20508FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sara El-Sherbini DMD Inc Pediatric Dentistry Current Accepting new patients
Mercer and Pham Dental Corporation General Practice PastSince Aug 15, 2021 Accepting new patients
West Coast Dental Past Accepting new patients

Organizations & group practices 3

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": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1407197288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 CASE RD BLDG C",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925705552",
            "telephone_number": "951-345-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CASE RD BLDG C",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925705552",
            "telephone_number": "951-345-4386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9349 Foothill Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "91730",
            "country_code": "US",
            "telephone_number": "909-980-6363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2715 W Bay Dr",
            "address_purpose": "LOCATION",
            "city": "Belleair Bluffs",
            "state": "FL",
            "postal_code": "337702617",
            "country_code": "US",
            "telephone_number": "727-683-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-SHERBINI",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2021-08-09",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20508",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS102332",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "102332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.