Saman Deljoui, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

58636 Issued in CA

Practice address

1779 Dominican Way
Santa Cruz, CA 95065-1526

Phone

(831) 475-2833

NPI assigned

Aug 7, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Saman Deljoui Other name

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saman Deljoui, DMD, Inc.

  dba Santa Cruz Endodontics

  • Endodontics
  • Santa Cruz, CA
  • NPI 1922508985
  NPD Authorized official
• Parsa T Zadeh DDS PC

  dba Beverly Hills Center for Reconstructive and Cosmetic Dentistry

  • General Practice Dentistry
  • Beverly Hills, CA
  • NPI 1922267913
  NPD (past)

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1851522866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 448W",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123473",
            "telephone_number": "310-273-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 DOMINICAN WAY",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651526",
            "telephone_number": "831-475-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELJOUI",
        "first_name": "SAMAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-07",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "58636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMAN",
            "last_name": "DELJOUI",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Krysta'Lynn Delfino
• Maria Delfino
• Jenna Elise Delforge
• Elaine Marie Delgado-Riggs
• Brianna Delgado
• Stefanie Delvecchio
• Monika Zofia Delyser, PMHNP
• Tracey Demartini, MFT
• Emily Mai Dembiczak
• Morgan Demetras, SLP

• Endodontics in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.

Verify at the official NPI Registry.