Organization Active NPI

Marvin & Richard Sagerman DDS

  • Dentist
  • Newhall, CA
National Provider Identifier
1609982461
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19156 Issued in CA
Legal business name
MARVIN & RICHARD SAGERMAN DDS
Practice address
25061 N Peachland Ave
Newhall, CA 91321
Phone
(661) 255-7530
Fax
(661) 254-4798
NPI assigned
Aug 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Marvin A Sagerman, DDS
Title
Owner
Phone
(661) 255-7530

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19157 CA
Dentist 122300000X 19156 CA Primary

Addresses

Primary practice location

25061 N Peachland Ave
Newhall, CA 91321

Mailing address

25061 N Peachland Ave
Newhall, CA 91321
Phone (661) 255-7530

Other names 1

  • A Professional Corporation Other name

National Provider Directory

National Provider Directory

Locations

25061 Peachland Ave
Newhall, CA 91321
Phone (661) 255-7530

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609982461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25061 N PEACHLAND AVE",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-255-7530",
            "fax_number": "661-254-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25061 N PEACHLAND AVE",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-255-7530",
            "fax_number": "661-254-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN & RICHARD SAGERMAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAGERMAN",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-255-7530",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "19157",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "19156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Professional Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.