Sam Baradaran DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SAM BARADARAN DDS INC

Practice address

16440 Vanowen St
Van Nuys, CA 91406-4729

Phone

(818) 779-4900

NPI assigned

Feb 17, 2021

Organization subpart

No

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

Authorized official

Name

Sam BaradaranNPI 1235663642

Title

DDS

Phone

(818) 447-0098

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sam Baradaran, DDS

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1235663642
  NPD Authorized official

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1831782267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16440 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064729",
            "telephone_number": "818-779-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16440 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064729",
            "telephone_number": "818-779-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16440 Vanowen St",
            "address_purpose": "LOCATION",
            "city": "Lake Balboa",
            "state": "CA",
            "postal_code": "914064729",
            "country_code": "US",
            "telephone_number": "818-779-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAM BARADARAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "BARADARAN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "818-447-0098"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Salinas
• Pia Salk, PSY.D.
• Joseph Hafez Salman
• Celarent Abuan Salonga
• Salud Hospice Inc
• Loretta M. Samaniego, M.D.
• Natalia Samaniego
• Andres Samayoa
• Tiffany Denise Sams
• Kyla Mendez San Antonio, BA

• General Practice Dentistry in Van Nuys, CA
• Providers in Van Nuys, 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 Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.