Leila Michelle Jamshidi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

110395 Issued in CA

Practice address

5925 Birdcage Centre LN Ste D105
Citrus Heights, CA 95610-8007

Phone

(916) 246-1502

NPI assigned

Aug 26, 2024

Sex

Female

Sole proprietor

No

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.

• Mohini Patel Dental Corporation

  • General Practice Dentistry
  • Citrus Heights, CA
  • NPI 1144315912
  NPD (past)

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1720811615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1196 VALENCIA ST STE 106",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103027",
            "telephone_number": "415-400-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 BIRDCAGE CENTRE LN STE D105",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956108007",
            "telephone_number": "916-246-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMSHIDI",
        "first_name": "LEILA",
        "middle_name": "MICHELLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Lynn Jacobsen
• Amy Jacobson
• Kerri Alexis Jacobson
• Dylan Richard Jake
• Carlisa James
• Weonsuk Jang, DMD
• Oscar Jaramillo
• Atif Javed, OD
• Jeffries Dental PC
• Jelero Group LLC

• Dentist in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.