Active NPI
Sahabi Dental Corp.
- General Practice Dentistry
- Glendale, CA
National Provider Identifier
1801940598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SAHABI DENTAL CORP.
- Practice address
- 609 S Glendale Ave
Glendale, CA 91205-2315 - Phone
- (818) 543-3222
- Fax
- (818) 543-3292
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kamran Sahabi, D.D.S.
- Title
- President-Ceo
- Phone
- (818) 395-4833
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | Primary | ||
| Periodontics | 1223P0300X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | |||
| Dental Hygienist | 124Q00000X | |||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
609 S Glendale Ave
Glendale, CA 91205-2315
Mailing address
609 S Glendale Ave
Glendale, CA 91205-2315
Phone (818) 543-3222
Other practice location 1
1721 W Artesia Blvd
Gardena, CA 90248-3220
Phone (310) 243-6040
Other names 1
- California Dental Group
National Provider Directory
National Provider DirectoryLocations
1721 W Artesia Blvd
Gardena, CA 90248
Phone (310) 243-6040
609 S Glendale Ave
Glendale, CA 91205
Phone (818) 395-4833
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Glendale, CA
- NPI 1679464283
-
- Dentist
- Port Hueneme, CA
- NPI 1689039950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596499200000",
"number": "1801940598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 S GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912052315",
"telephone_number": "818-543-3222",
"fax_number": "818-790-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 S GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912052315",
"telephone_number": "818-543-3222",
"fax_number": "818-543-3292"
}
],
"practiceLocations": [
{
"address_1": "1721 W Artesia Blvd",
"address_purpose": "LOCATION",
"city": "Gardena",
"state": "CA",
"postal_code": "902483220",
"country_code": "US",
"telephone_number": "310-243-6040",
"fax_number": "310-817-4333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SAHABI DENTAL CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A",
"authorized_official_last_name": "SAHABI",
"authorized_official_first_name": "KAMRAN",
"authorized_official_title_or_position": "PRESIDENT-CEO",
"authorized_official_telephone_number": "818-395-4833",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "California Dental Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "California Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.