Nasir Sadeghi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63730 Issued in CA

Practice address

2747 W Bullard Ave Ste 103
Fresno, CA 93711-2279

Phone

(559) 392-7393

NPI assigned

Aug 7, 2014

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

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.

• Golden Years Senior Dental Care

  • Dentist
  • Fresno, CA
  • NPI 1811530702
  NPD Authorized official
• Amin Sadeghi DMD Inc

  dba Dental Spa on First

  • Dental Clinic/Center
  • Fresno, CA
  • NPI 1760788392
  NPD (past)

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1790194348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 N 1ST ST STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260517",
            "telephone_number": "559-229-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 W BULLARD AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112279",
            "telephone_number": "559-392-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEGHI",
        "first_name": "NASIR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-07",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Elizabeth Sabourin, DO
• Angela W Sabry, MD
• Mickey Bhupander Sachdeva, M.D.
• Sarala R Sadda, MD
• Aminollah Sadeghi
• Alen Sadighim
• Humaira Sadiq, M.D.
• Moeez Sadiq
• Arzoo Sadiqi, DO
• Mary Sadlek, MD

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.