NPIMap

Organization Active NPI

Valeri Sacknoff D D S Inc

  • Dentist
  • Poway, CA
National Provider Identifier
1649626490
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34896 Issued in CA
Legal business name
VALERI SACKNOFF D D S INC
Practice address
15725 Pomerado Rd
Ste 110
Poway, CA 92064-2068
Phone
(858) 485-6900
Fax
(858) 485-5875
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Valeri SacknoffNPI 1194813337
Title
President/Owner
Phone
(858) 485-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 34896 CA Primary
Customized Equipment (DME) 332BC3200X 34896 CA

Addresses

Primary practice location

15725 Pomerado Rd
Ste 110
Poway, CA 92064-2068

Mailing address

15725 Pomerado Rd
Ste 110
Poway, CA 92064-2068
Phone (858) 485-6900

Other names 1

  • Pomerado Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

15725 Pomerado Rd
Ste 110
Poway, CA 92064
Phone (858) 485-6900

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1649626490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD",
            "address_2": "STE 110",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642068",
            "telephone_number": "858-485-6900",
            "fax_number": "858-485-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD",
            "address_2": "STE 110",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642068",
            "telephone_number": "858-485-6900",
            "fax_number": "858-485-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERI SACKNOFF D D S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "SACKNOFF",
        "authorized_official_first_name": "VALERI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "858-485-6900"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "34896",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "34896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pomerado Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.