Individual provider Active NPI

Adrien Arash Hamedi-Sangsari, DDS

  • Periodontics
  • Anaheim, CA
National Provider Identifier
1477905248
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DDS100037 Issued in CA
Practice address
9942 Katella Ave
Anaheim, CA 92804-6419
Phone
(818) 523-6403
NPI assigned
Jul 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DDS100037 CA
Periodontics 1223P0300X DDS100037 CA Primary

Addresses

Primary practice location

9942 Katella Ave
Anaheim, CA 92804-6419

Mailing address

23161 Gainford St
Woodland Hills, CA 91364-2727
Phone (818) 523-6403

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
DDS100037CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Adrien Hamedi Sangsari DDS Inc Periodontics CurrentSince Apr 6, 2025 Accepting new patients

Locations

9942 Katella Ave
Anaheim, CA 92804
Phone (714) 643-6000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1477905248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23161 GAINFORD ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642727",
            "telephone_number": "818-523-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9942 KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046419",
            "telephone_number": "818-523-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEDI-SANGSARI",
        "first_name": "ADRIEN",
        "middle_name": "ARASH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS100037",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "DDS100037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.