Sanaz Akbari
Individual provider Active NPI Dentist · Eureka, CA
NPI 1679178990 · NPPES record last updated Nov 7, 2025
Key facts
- NPI
- 1679178990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 105825 (CA)
- Practice address
- 831 Harris St Ste C
Eureka, CA 95503-4501 - Phone
- (559) 293-8066
- NPI assigned
- Dec 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210405002148 | CA | Order and Referring Only - Dentist |
5193132322 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105825 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nandita Panchal DDS, a Professional Dental Corporation | Past |
Accepting new patients | |
| M. Cortez DDS Inc | Dentist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 105825 | CA | Yes |
Addresses
Primary practice location
831 Harris St Ste C
Eureka, CA 95503-4501
Mailing address
831 Harris St Ste C
Eureka, CA 95503-4501
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.