Maryam Sarrafzadeh Hoang, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53865 Issued in CA

Practice address

5414 Sunrise Blvd Ste G
Citrus Heights, CA 95610-7803

Phone

(916) 863-5838

Fax

(916) 863-5879

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243036800000",
    "number": "1710081229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 SUNRISE BLVD STE G",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107803",
            "telephone_number": "916-863-5838",
            "fax_number": "916-863-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 SUNRISE BLVD STE G",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107803",
            "telephone_number": "916-863-5838",
            "fax_number": "916-863-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "MARYAM",
        "middle_name": "SARRAFZADEH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2009-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53865",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hibba Bajwa Dental Corporation
• Sandra E Hill Harris
• Sophia Claire Hill
• Romeo V Hilliard
• Frederick Harvey Hirshburg, MD
• Leo Hobbs
• Kristin Robbins Hoffman, MD
• Sydney Jean Hoffman
• Michelle Ann Holbrook
• Alexis Rose Holihan

• General Practice Dentistry in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2009; 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.