Elaheh Samsani, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

47415 Issued in CA

Practice address

7916 Pebble Beach Dr Ste 104
Citrus Heights, CA 95610-7790

Phone

(916) 962-0545

Fax

(916) 962-0927

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 9, 2018 through Mar 9, 2028

Medicare enrollment (NPD)

Not 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.

• Sierra Periodontal Group

  • Periodontics
  • Orangevale, CA
  • NPI 1639492226
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801916986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 PEBBLE BEACH DR STE 104",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107790",
            "telephone_number": "916-962-0545",
            "fax_number": "916-962-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 PEBBLE BEACH DR STE 104",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107790",
            "telephone_number": "916-962-0545",
            "fax_number": "916-962-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSANI",
        "first_name": "ELAHEH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "47415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERIODONTIST",
            "identifier": "47415",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine Saldana, MSW, MHRS
• Anisiyona Salgado
• Michael Salzberg
• Sam'S Club Optical
• Sams West Inc
• San Juan Unified School District
• Brandon Christopher Sanchez, BA
• Edith Elizabeth Sanchez, RN
• Elbira Sanchez
• Irene Sanchez

• Periodontics in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.