Individual provider Active NPI

Anisha Sebastian

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Alhambra, CA
National Provider Identifier
1538855598
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
104397 Issued in CA
Practice address
233 S Fremont Ave
Alhambra, CA 91801-3021
Phone
(626) 604-1130
NPI assigned
Apr 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 104397 CA Primary

Addresses

Primary practice location

233 S Fremont Ave
Alhambra, CA 91801-3021

Mailing address

11761 Chimineas Ave
Porter Ranch, CA 91326-3613
Phone (818) 439-3524

Other practice location 1

501 S Angel Pkwy # 400
Allen, TX 75002-4800
Phone (972) 646-7774

Other names 1

  • Anisha Sebastian Other name

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

State licenses

LicenseStateTypeSpecialty
104397CAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1538855598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11761 CHIMINEAS AVE",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913263613",
            "telephone_number": "818-439-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S FREMONT AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013021",
            "telephone_number": "626-604-1130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Angel Pkwy # 400",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750024800",
            "country_code": "US",
            "telephone_number": "972-646-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "ANISHA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "104397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANISHA",
            "last_name": "SEBASTIAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.