Active NPI
Sarah Ladhani
- General Practice Dentistry
- Fontana, CA
National Provider Identifier
1831886357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS109665
- Practice address
- 16475 Sierra Lakes Pkwy Ste 140
Fontana, CA 92336-1259 - Phone
- (205) 585-6160
- NPI assigned
- Apr 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D.007258-C1 | AL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | DDS109665 | CA | Primary |
Addresses
Primary practice location
16475 Sierra Lakes Pkwy Ste 140
Fontana, CA 92336-1259
Mailing address
3500 William and Mary Rd
Hoover, AL 35216-5319
Phone (205) 585-6160
Other practice location 1
3223 Baldwin Park Blvd
Baldwin Park, CA 91706-4802
Phone (205) 585-6160
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240523004036 | CA | Order and Referring Only - Dentist | 1759723505 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.007258-C1 | AL | MD | General Practice Dentistry |
| DDS109665 | CA | MD | General Practice Dentistry |
| 109665 | CA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732406400000",
"number": "1831886357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 WILLIAM AND MARY RD",
"city": "HOOVER",
"state": "AL",
"postal_code": "352165319",
"telephone_number": "205-585-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16475 SIERRA LAKES PKWY STE 140",
"city": "FONTANA",
"state": "CA",
"postal_code": "923361259",
"telephone_number": "205-585-6160"
}
],
"practiceLocations": [
{
"address_1": "3223 Baldwin Park Blvd",
"address_purpose": "LOCATION",
"city": "Baldwin Park",
"state": "CA",
"postal_code": "917064802",
"country_code": "US",
"telephone_number": "205-585-6160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LADHANI",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2024-11-24",
"certification_date": "2024-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "D.007258-C1",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS109665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; 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.