Individual provider Active NPI

Seza T Barsamian, DDS

  • Dentist
  • Los Alamitos, CA
National Provider Identifier
1629214341
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54767 Issued in CA
Practice address
4022 Katella Ave
Suite 206
Los Alamitos, CA 90720-3400
Phone
(562) 596-4439
Fax
(462) 596-4799
NPI assigned
Dec 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54767 CA Primary

Addresses

Primary practice location

4022 Katella Ave
Suite 206
Los Alamitos, CA 90720-3400

Mailing address

4022 Katella Ave
Suite 206
Los Alamitos, CA 90720-3400
Phone (562) 596-4439

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160420000741 CA Order and Referring Only - DentistPractitioner - Dentist 5496053779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
54767CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1629214341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 KATELLA AVE",
            "address_2": "SUITE 206",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203400",
            "telephone_number": "562-596-4439",
            "fax_number": "462-596-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 KATELLA AVE",
            "address_2": "SUITE 206",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203400",
            "telephone_number": "562-596-4439",
            "fax_number": "462-596-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSAMIAN",
        "first_name": "SEZA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.