Saman Edalat, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

55962 Issued in CA

Practice address

13431 Telegraph Rd
Whittier, CA 90605

Phone

(562) 946-2838

Fax

(562) 946-5939

NPI assigned

Aug 5, 2007

Last updated

Mar 4, 2013By the provider in NPPES

Sex

Male

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

Specialty

Dentist

Education

Herman Ostrow School of Dentistry of Usc, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Edalat Dental Group, Apc

  • Dental Clinic/Center
  • Northridge, CA
  • NPI 1730794801
  Medicare reassignment Authorized official
• Saman Edalat DDS Inc.

  • Dentist
  • Whittier, CA
  • NPI 1063752079
  NPD (past) Authorized official

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1477744795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13431 TELEGRAPH RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906053435",
            "telephone_number": "562-946-2838",
            "fax_number": "562-946-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13431 TELEGRAPH RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90605",
            "telephone_number": "562-946-2838",
            "fax_number": "562-946-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDALAT",
        "first_name": "SAMAN",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Whittier City Elementary Schools District
• Rebecca Ann Eberle-Romberger, PSY.D.
• Elaine Joy Ebilane-Escala, PT, DPT
• Catherine Echon, RD
• Poria Edalat
• Eddie C. Wang, O.D., Professional Optometric Corporation (AcuVision Family Optometry)
• Rachel Lea Cortes Ednalino
• Maria Laurice Edrosa, SLPA
• Eduardo a Tovar, M.D. a Medical Corp
• Edward Christopher Kolpin DO Inc

• Dentist in Whittier, CA
• Providers in Whittier, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.