Samira Sadoughi Sedehi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS111578 Issued in CA

Practice address

32391 Camino Capistrano # B
San Juan Capistrano, CA 92675-4519

Phone

(949) 805-0210

NPI assigned

Jun 19, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1467349746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19512 SIERRA SANTO RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926033834",
            "telephone_number": "479-409-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32391 CAMINO CAPISTRANO # B",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754519",
            "telephone_number": "949-805-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDEHI",
        "first_name": "SAMIRA",
        "middle_name": "SADOUGHI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS111578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Schilling, LPCC
• Carlos E Schmidt, MD
• Sherry Finn Schulman, RDN
• Chelsea Lynn Schult, FNP-C
• Jill Lauren Scolnick, D.O.
• Hayley Sue Sedell, PT
• Talia Rose Seider, PHD, ABPP
• Cassandra Caitlin Seidler, LCSW
• Lana K Selecman, SLP
• Serene Behavioral Health, LLC

• General Practice Dentistry in San Juan Capistrano, CA
• Providers in San Juan Capistrano, 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 Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.