Babak Shifteh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52027 Issued in CA

Practice address

9700 Woodman Ave
Suite A28
Arleta, CA 91331

Phone

(818) 899-9999

Fax

(818) 897-6030

NPI assigned

Feb 13, 2007

Sex

Male

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

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1790827103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5828 TOPEKA DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561318",
            "telephone_number": "818-996-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 WOODMAN AVE",
            "address_2": "SUITE A28",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "91331",
            "telephone_number": "818-899-9999",
            "fax_number": "818-897-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFTEH",
        "first_name": "BABAK",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52027",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phattarakan Sanguansukdikosol
• Jennifer Santacruz
• SB Family Management, LLC
• Seventh Ocean Home Health, Inc
• Seventh Ocean Hospice Care, Inc.
• Side by Side Occupational Therapy
• Vanessa Silva, MSN, FNP-C
• Marie Roxanne Sinaii, FNP
• Nitigron Piller Sitiso, DPT
• Sky Trans

• General Practice Dentistry in Arleta, CA
• Providers in Arleta, 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 Mar 19, 2013; 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.