Sarah Golshan Davey, DDS
Individual provider Active NPI General Practice Dentistry · Escondido, CA
NPI 1700224003 · NPPES record last updated Nov 3, 2022
Key facts
- NPI
- 1700224003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 64367 (CA)
- Practice address
- 457 E. Grand Ave
Suite #4
Escondido, CA 92025 - Phone
- (760) 747-7878
- Fax
- (760) 747-2156
- NPI assigned
- Jun 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64367 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles U. Basso DDS Inc | General Practice | Current |
Accepting new patients |
| Leslie K Bonar DDS Apc & Charles U Basso DDS Apc PTR | General Practice | Past |
Accepting new patients |
Locations
457 E Grand Ave
Ste 4
Escondido, CA 92025
Phone (760) 747-7878
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| General Practice Dentistry | 1223G0001X | 64367 | CA | Yes |
Addresses
Primary practice location
457 E. Grand Ave
Suite #4
Escondido, CA 92025
Mailing address
14627 Via Bettona
San Diego, CA 92127
Phone (858) 243-9444
NPI Registry JSON
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1700224003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14627 VIA BETTONA",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92127",
"telephone_number": "858-243-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 E. GRAND AVE",
"address_2": "SUITE #4",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "92025",
"telephone_number": "760-747-7878",
"fax_number": "760-747-2156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVEY",
"first_name": "SARAH",
"middle_name": "GOLSHAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-07",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "64367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
- Dap Health, Inc.
- Dap Health, Inc.
- Dash Solutions, LLC
- Anahita Dashtaei
- Tariq M Dastagir
- David J Bainer DDS Inc
- David R Plotner M.D. Apc
- Danielle R. Davidek
- Ana Ysabel Davies
- Arantxa Davila Fragoso
All providers in Escondido, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.