Maryam Seirafi, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59411 Issued in CA

Practice address

5350 Dunlay Dr Unit 1414
Sacramento, CA 95835-1578

Phone

(916) 515-1119

NPI assigned

Jul 2, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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.

• Won Sur Park DDS, Inc.

  • Dental Clinic/Center
  • San Pedro, CA
  • NPI 1962917294
  NPD (past)

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1720390958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313115",
            "telephone_number": "310-831-0003",
            "fax_number": "310-831-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 DUNLAY DR UNIT 1414",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351578",
            "telephone_number": "916-515-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIRAFI",
        "first_name": "MARYAM",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Winneme Seidu
• Alexandria Seifert
• Jesenia Marie Seiff
• Carmelia Seigle
• Linda Lee Seiler, LVN
• Adam Jacob Seiver, M.D.
• Selmir A Sejdic
• Barbara Ann Sek, MS, CCC-SLP
• Sekander Inc
• Hagilandeswari Sekar, M.D.

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, 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 Mar 7, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.