Active NPI
Sassan Kafayi, DDS
- Dentist
- San Francisco, CA
National Provider Identifier
1619140787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 43024
- Practice address
- 450 Sutter Street
Suite 2104
San Francisco, CA 94108-4105 - Phone
- (415) 397-2244
- Fax
- (415) 397-2246
- NPI assigned
- Apr 9, 2008
- 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 | 43024 | CA | Primary |
Addresses
Primary practice location
450 Sutter Street
Suite 2104
San Francisco, CA 94108-4105
Mailing address
450 Sutter Street
Suite 2104
San Francisco, CA 94108-4105
Phone (415) 397-2244
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 |
|---|---|---|---|
| 43024 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1619140787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 SUTTER STREET",
"address_2": "SUITE 2104",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941084105",
"telephone_number": "415-397-2244",
"fax_number": "415-397-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 SUTTER STREET",
"address_2": "SUITE 2104",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941084105",
"telephone_number": "415-397-2244",
"fax_number": "415-397-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAFAYI",
"first_name": "SASSAN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "43024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.