Sara Rezaie, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DDS108098 Issued in CA

Practice address

11635 South St
Artesia, CA 90701-6628

Phone

(310) 820-9933

NPI assigned

Jun 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Cohen Sedgh, Manavi & Pakravan Dental Corporation

  • Dentist
  • Pico Rivera, CA
  • NPI 1306133053
  NPD (past)
• Cohen Sedgh, Manavi & Pakravan Dental Corporation

  • Dentist
  • Long Beach, CA
  • NPI 1861789513
  NPD (past)
• Farid Pakravan Professional Dental Corporation

  • Dentist
  • Santa Ana, CA
  • NPI 1811691710
  NPD (past)
• Farid Pakravan Professional Dental Corporation

  • General Practice Dentistry
  • Lancaster, CA
  • NPI 1922283936
  NPD (past)
• Westcoastdental

  • Dental Clinic/Center
  • North Hills, CA
  • NPI 1780975755
  NPD (past)

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1790136232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11635 SOUTH ST",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11635 SOUTH ST",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016628",
            "telephone_number": "310-820-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAIE",
        "first_name": "SARA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040906",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "DDS108098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehab Dynamic Services Inc
• Rem Physical Therapy
• Alison Reyes
• Gerald Reyes
• Azadeh Rezaie
• Rhoda D Ricafranca-Evans, D.C.
• Raimee Richards, LVN
• Rosalind Tuazon-Jarvina Roberson, OTR/L
• Maria Nannette Higwit Rodriguez, NP
• Avon Roque

• All providers in Artesia, CA
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.