Individual provider Active NPI

Sarah Ladhani

  • General Practice Dentistry
  • Fontana, CA
National Provider Identifier
1831886357
Registry record updated Nov 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS109665 Issued in CA
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

Updated by the provider on Nov 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523004036 CA Order and Referring Only - DentistPractitioner - Dentist 1759723505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D.007258-C1ALMDGeneral Practice Dentistry
DDS109665CAMDGeneral Practice Dentistry
109665CAMDPharmacy 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

Verify at the official NPI Registry.