Active NPI
Erfun Sadeghi, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1760168074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 109504
- Practice address
- 5373 W Centinela Ave
Los Angeles, CA 90045-2003 - Phone
- (310) 359-3780
- NPI assigned
- Jun 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 109504 | CA | Primary |
Addresses
Primary practice location
5373 W Centinela Ave
Los Angeles, CA 90045-2003
Mailing address
PO Box 1287
Pacific Palisades, CA 90272-1287
Phone (310) 359-3780
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1760168074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1287",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902721287",
"telephone_number": "310-359-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5373 W CENTINELA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900452003",
"telephone_number": "310-359-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADEGHI",
"first_name": "ERFUN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-22",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "109504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.