Organization Active NPI

Ksahabi, D.D.S., Inc

  • Dentist
  • Glendale, CA
National Provider Identifier
1497097042
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KSAHABI, D.D.S., INC
Practice address
609 S Glendale Ave
Glendale, CA 91205-2315
Phone
(818) 543-3222
Fax
(818) 543-3292
NPI assigned
Mar 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Kamran Sahabi
Title
President
Phone
(818) 395-4833

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

609 S Glendale Ave
Glendale, CA 91205-2315

Mailing address

609 S Glendale Ave
Glendale, CA 91205-2315
Phone (818) 543-3222

National Provider Directory

National Provider Directory

Locations

930 W Foothill Blvd
Ste D
Upland, CA 91786
Phone (818) 395-4833

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1497097042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052315",
            "telephone_number": "818-543-3222",
            "fax_number": "818-543-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052315",
            "telephone_number": "818-543-3222",
            "fax_number": "818-543-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSAHABI, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "SAHABI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-395-4833"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.