Reza R Sanjar, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

26058 Issued in TX

Practice address

581 Foster City Blvd
Foster City, CA 94404-1695

Phone

(650) 286-9999

NPI assigned

Nov 23, 2010

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Jun 24, 2017 through Jun 24, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Polly Chan DDS Inc

  • Dentist
  • Foster City, CA
  • NPI 1508931247
  NPD (past)

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1720380710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 GULL AVE",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041445",
            "telephone_number": "713-397-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 FOSTER CITY BLVD",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041695",
            "telephone_number": "650-286-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANJAR",
        "first_name": "REZA",
        "middle_name": "R",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-23",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "26058",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Rojo, OT
• James Francis Rooney, M.D.
• Julie Hyunju Ryu, PHARM.D.
• Sage and Wong Chiropractic Professional Corporation
• Patrick Sage
• Maira Sant Anna
• Santa Clara Co Ipa
• Jacqueline M. Santa Iglesia, PT, DPT
• Joseph Sarsour, D.P.T.
• Frank Austin Saunders, PH.D.

• Dentist in Foster City, CA
• Providers in Foster City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.