Organization Active NPI

Keivan Sarraf, DDS, Inc

  • Dentist
  • Baldwin Park, CA
National Provider Identifier
1447556840
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KEIVAN SARRAF, DDS, INC
Practice address
3060 Baldwin Park Blvd Ste D100
Baldwin Park, CA 91706-4704
Phone
(310) 460-9546
NPI assigned
Feb 2, 2011
Organization subpart
Yes
Parent organization
KEIVAN SARRAF, DDS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Dr. Keivan Sarraf, DDS
Title
Ceo
Phone
(310) 460-9546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X CA Primary

Addresses

Primary practice location

3060 Baldwin Park Blvd Ste D100
Baldwin Park, CA 91706-4704

Mailing address

3060 Baldwin Park Blvd Ste D100
Baldwin Park, CA 91706-4704

National Provider Directory

National Provider Directory
Tax ID family
Keivan Sarraf DDS Inc4 organizations share this tax ID, including this one
Part of
Keivan Sarraf DDS Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3060 Baldwin Park Blvd
Ste D100
Baldwin Park, CA 91706
Phone (310) 460-9546

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1447556840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 BALDWIN PARK BLVD STE D100",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 BALDWIN PARK BLVD STE D100",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064704",
            "telephone_number": "310-460-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIVAN SARRAF, DDS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEIVAN SARRAF, DDS, INC",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "SARRAF",
        "authorized_official_first_name": "KEIVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-460-9546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.