Active NPI
Suzan Sabagh, DDS
- Orofacial Pain Dentistry
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orofacial Pain Dentistry
- License
- 48671
- Practice address
- 11980 San Vicente Blvd Ste 814
Los Angeles, CA 90049-6606 - Phone
- (760) 436-6365
- NPI assigned
- Mar 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 48671 | CA | |
| Pain Medicine Physician | 208VP0000X | 48671 | CA | |
| Orofacial Pain Dentistry | 1223X2210X | 48671 | CA | Primary |
Addresses
Primary practice location
11980 San Vicente Blvd Ste 814
Los Angeles, CA 90049-6606
Mailing address
16501 Falda Ave Ste L
Torrance, CA 90504-1412
Phone (310) 493-1133
Other practice location 1
2424 W Ball Rd
Suite L
Anaheim, CA 92804-5272
Phone (714) 826-9000
Other practice location 2
4403 Manchester Ave Ste 101
Encinitas, CA 92024-4939
Phone (844) 235-9881
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Herman Ostrow School of Dentistry of Usc, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2095 W Vista Way
Suite 218
Vista, CA 92083-6029
Phone (760) 436-6365
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48671 | CA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Sleep and Orofacial Pain Clinic | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Bradley a. Eli Dental Corporation | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Sleep Treatment Partners | Current | Accepting new patients | |
| Bradley Eli la Office | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Dabbagh and Al Teir Dental Corporation | General Practice | Past | Accepting new patients |
Locations
4403 Manchester Ave
Ste 101
Encinitas, CA 92024
Phone (760) 436-6365
11980 San Vicente Blvd
Ste 814
Los Angeles, CA 90049
Phone (760) 436-6365
1964 Westwood Blvd
Ste 200
Los Angeles, CA 90025
Phone (310) 446-4867
11980 San Vicente Blvd
Los Angeles, CA 90049
Phone (310) 820-1496
11980 San Vicente Blvd
Ste 811
Los Angeles, CA 90049
Phone (310) 826-8911
2095 W Vista Way
Ste 218
Vista, CA 92083
Phone (760) 630-3562
Interoperability endpoints
- suzan.sabagh.1@15735.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orofacial Pain Dentistry
- Vista, CA
- NPI 1962533919
Oral and Maxillofacial Surgery
-
- Orofacial Pain Dentistry
- Rochester Hills, MI
- NPI 1083350581
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- Los Angeles, CA
- NPI 1326730821
-
- Specialist
- Rancho Mirage, CA
- NPI 1295357234
-
- General Practice Dentistry
- Anaheim, CA
- NPI 1235378860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1649440595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16501 FALDA AVE STE L",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905041412",
"telephone_number": "310-493-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11980 SAN VICENTE BLVD STE 814",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496606",
"telephone_number": "760-436-6365"
}
],
"practiceLocations": [
{
"address_1": "2424 W Ball Rd",
"address_2": "SUITE L",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928045272",
"country_code": "US",
"telephone_number": "714-826-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4403 Manchester Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Encinitas",
"state": "CA",
"postal_code": "920244939",
"country_code": "US",
"telephone_number": "844-235-9881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SABAGH",
"first_name": "SUZAN",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "48671",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "48671",
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "CA",
"license": "48671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.