Sina Edalat, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

64563 Issued in CA

Practice address

1739 Colorado Blvd
Los Angeles, CA 90041-1348

Phone

(323) 344-0682

NPI assigned

Jun 19, 2015

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Male

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sina Edalat DDS, Inc

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1174169452
  NPD Authorized official
• Sina Edalat Dental Group, Inc

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1225793458
  NPD Authorized official
• Edalat Dental Group, Apc

  • Dental Clinic/Center
  • Northridge, CA
  • NPI 1730794801
  NPD (past)
• Saman Edalat DDS Inc.

  • Dentist
  • Whittier, CA
  • NPI 1063752079
  NPD (past)

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1790167336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411348",
            "telephone_number": "323-344-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411348",
            "telephone_number": "323-344-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDALAT",
        "first_name": "SINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Steven Economou, MD
• Tasia S. Economou, MD
• Mickaela Eda
• Faranak Edalat Pajou, RPH
• Edalat Pajouh Dental Corp
• Faramarz Edalatpajouh, DMD
• Esther Edber, CNM
• Daniel Edberg, M.D.
• Eddie Harouni, D.D.S.,Inc.
• Michelle Eddins

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.