Individual provider Active NPI

Nicole Sakai, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Angeles, CA
National Provider Identifier
1528366143
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
63446 Issued in CA
Practice address
11340 W Olympic Blvd Ste 337
Los Angeles, CA 90064-1613
Phone
(310) 479-8900
NPI assigned
Mar 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X 63446 CA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 26311 TX
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 63446 CA Primary

Addresses

Primary practice location

11340 W Olympic Blvd Ste 337
Los Angeles, CA 90064-1613

Mailing address

11340 W Olympic Blvd Ste 337
Los Angeles, CA 90064-1613
Phone (310) 479-8900

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
26311TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Heoijin Kim DDS Inc Orthodontics and Dentofacial Orthopedics CurrentSince Jul 22, 2025 Accepting new patients
Sakai Dental Corporation Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Lili Mirtorabi, D.D.S., a Professional Corporation Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Locations

11340 W Olympic Blvd
Ste 337
Los Angeles, CA 90064
Phone (310) 479-8900

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": "1299369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1528366143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD STE 337",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641613",
            "telephone_number": "310-479-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD STE 337",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641613",
            "telephone_number": "310-479-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKAI",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-06",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "63446",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "26311",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "63446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.