Active NPI
Saman Saghizadeh, DDS
- Dentist
- Northridge, CA
National Provider Identifier
1588082838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62768
- Practice address
- 9145 Reseda Blvd
Northridge, CA 91324-3031 - Phone
- (818) 886-9920
- NPI assigned
- Apr 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 62768 | CA | Primary |
Addresses
Primary practice location
9145 Reseda Blvd
Northridge, CA 91324-3031
Mailing address
5220 Avenida Oriente
Tarzana, CA 91356-4332
Phone (310) 666-7316
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62768 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1588082838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 AVENIDA ORIENTE",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564332",
"telephone_number": "310-666-7316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9145 RESEDA BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913243031",
"telephone_number": "818-886-9920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGHIZADEH",
"first_name": "SAMAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-03",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.