Alireza Michael Sodeifi, M.D., D.M.D.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

A103172 Issued in CA

Practice address

18805 Cox Ave Ste 130
Saratoga, CA 95070-6614

Phone

(408) 222-3354

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sodeifi, DMD, MD, Inc.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Saratoga, CA
  • NPI 1508579285
  NPD Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1851407753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18805 COX AVE STE 130",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706614",
            "telephone_number": "408-222-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18805 COX AVE STE 130",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706614",
            "telephone_number": "408-222-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODEIFI",
        "first_name": "ALIREZA",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D., D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "55700",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A103172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garryn Leigh Skurulsky, L.A.C.
• Mary Stefanie Smith, LMFT
• Troy Tanner Smith
• Margaret Smyklo, MD
• Shelley Snowdon
• Sodeifi, DMD, MD, Inc.
• Tracie Lara Soder, M.A
• Soma Therapeutic Touch
• Veronique Soubaigne Sauzay, CMT
• Specs Family Optometry Inc

• Oral & Maxillofacial Surgery (D.M.D.) in Saratoga, CA
• Providers in Saratoga, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.