Organization Active NPI

Sodeifi, DMD, MD, Inc.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Saratoga, CA
National Provider Identifier
1508579285
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
SODEIFI, DMD, MD, INC.
Practice address
18805 Cox Ave Ste 130
Saratoga, CA 95070-6614
Phone
(408) 222-3354
NPI assigned
Dec 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Dr. Alireza Michael Sodeifi, MDNPI 1851407753
Title
Surgeon
Phone
(408) 838-8702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

18805 Cox Ave Ste 130
Saratoga, CA 95070-6614

Mailing address

PO Box 20307
San Jose, CA 95160-0307
Phone (408) 838-8702

National Provider Directory

National Provider Directory

Locations

10393 Torre Ave
Ste L
Cupertino, CA 95014
Phone (408) 253-6081

18805 Cox Ave
Ste 130
Saratoga, CA 95070
Phone (408) 222-3354

Practitioners & affiliated clinicians

Practitioners 1

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": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1508579285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20307",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951600307",
            "telephone_number": "408-838-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18805 COX AVE STE 130",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706614",
            "telephone_number": "408-222-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SODEIFI, DMD, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "SODEIFI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "408-838-8702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.