Jyothsna Reddy Sabalam, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102693 Issued in CA

Practice address

2416 Professional Dr
Roseville, CA 95661-7773

Phone

(916) 783-5241

NPI assigned

Jul 6, 2018

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

Locations

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.

• Jyothsna Reddy Sabalam DMD Inc

  • Dental Clinic/Center
  • Roseville, CA
  • NPI 1265252332
  NPD Authorized official
• Yamamoto and Lee, a Dental Corporation

  dba Yamamoto and Lee, Inc

  • General Practice Dentistry
  • Roseville, CA
  • NPI 1063543429
  NPD (past)

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1730675349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 OSTERVILLE DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957474329",
            "telephone_number": "857-472-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 PROFESSIONAL DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617773",
            "telephone_number": "916-783-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY SABALAM",
        "first_name": "JYOTHSNA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Lynne Reagin, SUDCC II
• Rebecca's ABA Play Ca LLC
• Recover Medical Group PC
• Recovery Happens Counseling Services (Recovery Happens Counseling Services Roseville)
• Angi Reddell
• Jakkidi S Reddy, MD
• Moola Prabhakar Reddy, MD
• Naveen Reddy, MD
• Sivakumar Reddy, MD
• Swathi Reddy, M.D.

• General Practice Dentistry in Roseville, CA
• Providers in Roseville, 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 Oct 14, 2024; 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.