Individual provider Active NPI

Bahareh Safaie, DDS

  • General Practice Dentistry
  • Encino, CA
National Provider Identifier
1467784595
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59030 Issued in CA
Practice address
16101 Ventura Blvd Ste 350
Encino, CA 91436-2516
Phone
(818) 788-3384
Fax
(818) 788-3385
NPI assigned
Jan 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59030 CA Primary

Addresses

Primary practice location

16101 Ventura Blvd Ste 350
Encino, CA 91436-2516

Mailing address

16101 Ventura Blvd Ste 350
Encino, CA 91436-2516
Phone (818) 788-3384

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
59030CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1467784595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD STE 350",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362516",
            "telephone_number": "818-788-3384",
            "fax_number": "818-788-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD STE 350",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362516",
            "telephone_number": "818-788-3384",
            "fax_number": "818-788-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFAIE",
        "first_name": "BAHAREH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.