Behrouz Sami Daryani, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

56883 Issued in CA

Practice address

556 Lyell Dr
Modesto, CA 95356-8970

Phone

(209) 549-2400

NPI assigned

Apr 19, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behrouz Sami, DMD, Inc

  • Pediatric Dentistry
  • Modesto, CA
  • NPI 1063890689
  NPD (past) Authorized official

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

{
    "created_epoch": "1240099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1578706636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 LYELL DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568970",
            "telephone_number": "209-549-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 LYELL DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568970",
            "telephone_number": "209-549-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMI DARYANI",
        "first_name": "BEHROUZ",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-19",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "56883",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN18092",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D7814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samakhom Medical Clinic Inc
• Ariana Samandari
• Alana Samaniego
• Amber Nicole Samaro
• Kayalvizhi Sambandam, M.D.
• Natasha Lynn Sami
• Gurpreet Samra
• Harleen Samra
• Sukhjit Samra, M.D.
• Japmeet Samran

• Pediatric Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.