Individual provider Active NPI

Ramona Sabbaghian, D.D.S.

  • Dentist
  • Marina del Rey, CA
National Provider Identifier
1487901682
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61658 Issued in CA
Practice address
4551 Glencoe Ave Ste 200
Marina del Rey, CA 90292-7927
Phone
(310) 822-0202
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61658 CA Primary

Addresses

Primary practice location

4551 Glencoe Ave Ste 200
Marina del Rey, CA 90292-7927

Mailing address

4551 Glencoe Ave Ste 200
Marina del Rey, CA 90292-7927
Phone (310) 822-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61658CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saba Dental Group CurrentSince Feb 2, 2025 Accepting new patients
R & a Sabbaghian Dental Inc CurrentSince Sep 23, 2024 Accepting new patients
Hung Dang DDS Inc. Dentist PastSince Apr 27, 2015 Accepting new patients

Locations

4551 Glencoe Ave
Ste 200
Marina del Rey, CA 90292
Phone (310) 822-0202

Organizations & group practices 3

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": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1487901682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 GLENCOE AVE STE 200",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927927",
            "telephone_number": "310-822-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 GLENCOE AVE STE 200",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927927",
            "telephone_number": "310-822-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABBAGHIAN",
        "first_name": "RAMONA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

Verify at the official NPI Registry.