Omid Taghavi Sheikh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS110191 Issued in CA

Practice address

5800 Santa Rosa Rd Ste 101
Camarillo, CA 93012-7060

Phone

(805) 987-8782

NPI assigned

Jul 1, 2024

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Steven G. Johnson Dental Corporation

  • General Practice Dentistry
  • Camarillo, CA
  • NPI 1770975492
  NPD (past)

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1487499398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 MALCOLM AVE APT 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257603",
            "telephone_number": "310-467-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 SANTA ROSA RD STE 101",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930127060",
            "telephone_number": "805-987-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGHAVI SHEIKH",
        "first_name": "OMID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS110191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Szeprethy
• Toni M Szydlowski, COTA
• Cameron Tadayon
• Emad Tadrous, RPH
• James Daniel Taft, D.O.
• David Tajima, D.D.S.
• Michael Ken Takagi
• Claudine Teruko Takemoto, RDH AP
• Giacomo Tallarida
• Leah Eskuri Taluy

• General Practice Dentistry in Camarillo, CA
• Providers in Camarillo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.