Active NPI
Nazanin Abdehoo
- General Practice Dentistry
- Sacramento, CA
National Provider Identifier
1477445161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 111960
- Practice address
- 3290 Arena Blvd Ste 610
Sacramento, CA 95834-3003 - Phone
- (916) 574-9400
- NPI assigned
- Jul 17, 2025
- Last updated
- Sep 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 111960 | CA | Primary |
Addresses
Primary practice location
3290 Arena Blvd Ste 610
Sacramento, CA 95834-3003
Mailing address
7626 Windbridge Dr Apt 51
Sacramento, CA 95831-4955
Phone (318) 470-8970
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
| License | State | Type | Specialty |
|---|---|---|---|
| 111960 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amezcua Dental Corporation | General Practice | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Market West Dental Group
- General Practice Dentistry
- Sacramento, CA
- NPI 1679666432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758931200000",
"number": "1477445161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7626 WINDBRIDGE DR APT 51",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958314955",
"telephone_number": "318-470-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3290 ARENA BLVD STE 610",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958343003",
"telephone_number": "916-574-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDEHOO",
"first_name": "NAZANIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-17",
"last_updated": "2025-09-27",
"certification_date": "2025-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "111960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.