Abdolreza Saffari-Nazari, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53271 Issued in CA

Practice address

11540 Hawthorne Blvd Ste B
Hawthorne, CA 90250-2367

Phone

(818) 913-3158

Fax

(424) 269-0412

NPI assigned

Aug 21, 2006

Last updated

Jan 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fulbright Dental Group, PC

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1336384619
  Medicare reassignment NPD
• Smilecare Dentistry

  • General Practice Dentistry
  • Hawthorne, CA
  • NPI 1477315927
  NPD
• Sahabi-Tafti Dental Corporation

  • General Practice Dentistry
  • Whittier, CA
  • NPI 1992042113
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1588779144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11540 HAWTHORNE BLVD STE B",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502367",
            "telephone_number": "818-913-3158",
            "fax_number": "424-269-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11540 HAWTHORNE BLVD STE B",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502367",
            "telephone_number": "818-913-3158",
            "fax_number": "424-269-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFARI-NAZARI",
        "first_name": "ABDOLREZA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "20-5166763",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reza Sadeghi, DDS
• Ahmed Sadek
• Eloise Sadsad
• Jemie E Sae Koo
• Christina Saenz
• Peyman Saghizadeh, DDS
• Sahawneh Dental Corporation (Bright Now Dental - Hawthorne)
• Saint Catherine Family Health Center
• Mervat R Salama, D.D.S.
• S George Salama, DDS

• General Practice Dentistry in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; 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.

Verify at the official NPI Registry.