Active NPI
Sarah Sanam Meshkanian, DDS
- Dentist
- West Covina, CA
National Provider Identifier
1568144194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 109046
- Practice address
- 2233 E Garvey Ave N Ste a
West Covina, CA 91791-1500 - Phone
- (626) 605-6201
- NPI assigned
- Aug 3, 2023
- Last updated
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 109046 | CA | Primary |
Addresses
Primary practice location
2233 E Garvey Ave N Ste a
West Covina, CA 91791-1500
Mailing address
PO Box 491575
Los Angeles, CA 90049-9575
Phone (424) 242-2087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231017003627 | CA | Order and Referring Only - Dentist | 4486009073 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1568144194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 491575",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900499575",
"telephone_number": "424-242-2087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 E GARVEY AVE N STE A",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917911500",
"telephone_number": "626-605-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESHKANIAN",
"first_name": "SARAH",
"middle_name": "SANAM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-03",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "109046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.