Organization Active NPI

Zahra Sara Naderi DDS Inc

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1457696122
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
50496 Issued in CA
Legal business name
ZAHRA SARA NADERI DDS INC
Practice address
4241 Balboa Ave
San Diego, CA 92117
Phone
(858) 273-1580
Fax
(858) 273-3554
NPI assigned
Dec 6, 2012
Last updated
Dec 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Dr. Sara Zahra Naderi, D.D.S
Title
Dentist Owner
Phone
(858) 273-1580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 50496 CA Primary

Addresses

Primary practice location

4241 Balboa Ave
San Diego, CA 92117

Mailing address

4241 Balboa Ave
San Diego, CA 92117
Phone (858) 273-1580

National Provider Directory

National Provider Directory

Locations

4241 Balboa Ave
San Diego, CA 92117
Phone (858) 273-1580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1457696122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 BALBOA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92117",
            "telephone_number": "858-273-1580",
            "fax_number": "858-273-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 BALBOA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92117",
            "telephone_number": "858-273-1580",
            "fax_number": "858-273-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAHRA SARA NADERI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "NADERI",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ZAHRA",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "858-273-1580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "50496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.