Nazanin Abdehoo
Individual provider Active NPI General Practice Dentistry · Sacramento, CA
NPI 1477445161 · NPPES record last updated Sep 27, 2025
Key facts
- NPI
- 1477445161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 111960 (CA)
- Practice address
- 3290 Arena Blvd Ste 610
Sacramento, CA 95834-3003 - Phone
- (916) 574-9400
- NPI assigned
- Jul 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 111960 | CA | Yes |
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
Other providers in Sacramento, CA
- Geeti Abdali
- Pamela Ann Abdali
- Jacqueline Abdalla
- Amani Abdallah
- Giacomo Abdallah
- Marian Abdel Malek
- Mourad Michel Abdel-Malek
- Linda Kamal Abdelbaki
- Yasser Abdelhafez
- Jimela Krystal Abdelkadir
All providers in Sacramento, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.