NPIMap

Organization Active NPI

Randall Sagisi Professional Dental Corporation

  • General Practice Dentistry
  • Valencia, CA
National Provider Identifier
1780455766
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RANDALL SAGISI PROFESSIONAL DENTAL CORPORATION
Practice address
23310 Cinema Dr Ste 103
Valencia, CA 91355-1613
Phone
(808) 383-4965
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Dr. Randall Sagisi, DMDNPI 1285976795
Title
President
Phone
(808) 383-4965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

23310 Cinema Dr Ste 103
Valencia, CA 91355-1613

Mailing address

23310 Cinema Dr Ste 103
Valencia, CA 91355-1613
Phone (808) 383-4965

National Provider Directory

National Provider Directory

Locations

23310 Cinema Dr
Ste 103
Valencia, CA 91355
Phone (808) 383-4965

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1780455766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23310 CINEMA DR STE 103",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551613",
            "telephone_number": "808-383-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23310 CINEMA DR STE 103",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551613",
            "telephone_number": "808-383-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL SAGISI PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "SAGISI",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-383-4965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.