Individual provider Active NPI

Sepi Fatahi, D.M.D.

  • Dentist
  • Santa Clarita, CA
National Provider Identifier
1447532684
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61574 Issued in CA
Practice address
18846 Stone Canyon LN
Santa Clarita, CA 91351-5026
Phone
(661) 964-8786
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61574 CA Primary

Addresses

Primary practice location

18846 Stone Canyon LN
Santa Clarita, CA 91351-5026

Mailing address

18846 Stone Canyon LN
Santa Clarita, CA 91351-5026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160210001608 CA Order and Referring Only - DentistPractitioner - Dentist 1850695941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61574CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
S Fatahi Dental Group Inc Dentist PastSince Jul 24, 2022 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": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1447532684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18846 STONE CANYON LN",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913515026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18846 STONE CANYON LN",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913515026",
            "telephone_number": "661-964-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATAHI",
        "first_name": "SEPI",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.