Active NPI
Sahar Mirfarsi, DDS
- Dentist
- Pomona, CA
National Provider Identifier
1740433952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 58755
- Practice address
- 309 E 2ND St
Pomona, CA 91766 - Phone
- (909) 469-8625
- NPI assigned
- Oct 31, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58755 | CA | MD | Orofacial Pain Dentist |
| 58755 | PA | MD | Oral Medicinist |
Specialties & licenses 5
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 58755 | CA | |
| Orofacial Pain Dentistry | 1223X2210X | 58755 | CA | |
| Orofacial Pain Dentistry | 1223X2210X | 58755 | PA | |
| Oral Medicine Dentistry | 125Q00000X | 58755 | PA | |
| Dentist | 122300000X | 58755 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
309 E 2ND St
Pomona, CA 91766
Mailing address
309 E 2ND St
Pomona, CA 91766-1854
Phone (909) 469-8625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2022.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1740433952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E 2ND ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917661854",
"telephone_number": "909-469-8625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E 2ND ST",
"city": "POMONA",
"state": "CA",
"postal_code": "91766",
"telephone_number": "909-469-8625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRFARSI",
"first_name": "SAHAR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-31",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "58755",
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "CA",
"license": "58755",
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "PA",
"license": "58755",
"primary": false
},
{
"code": "125Q00000X",
"taxonomy_group": "",
"desc": "Dentist, Oral Medicine",
"state": "PA",
"license": "58755",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "58755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.