Individual provider Active NPI

Soraya Meena Safi, DMD

  • Dentist
  • Yorba Linda, CA
National Provider Identifier
1720336175
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61787 Issued in CA
Practice address
18432 Yorba Linda Blvd Ste D
Yorba Linda, CA 92886-4008
Phone
(951) 255-0966
NPI assigned
Aug 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61787 CA Primary

Addresses

Primary practice location

18432 Yorba Linda Blvd Ste D
Yorba Linda, CA 92886-4008

Mailing address

14123 Spectrum
Irvine, CA 92618-3406
Phone (951) 255-0966

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915002131 CA Order and Referring Only - DentistPractitioner - Dentist 1557678182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1720336175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14123 SPECTRUM",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183406",
            "telephone_number": "951-255-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18432 YORBA LINDA BLVD STE D",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864008",
            "telephone_number": "951-255-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFI",
        "first_name": "SORAYA",
        "middle_name": "MEENA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.