Mahvash Emamisadr II, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

38049 Issued in CA

Practice address

7902 Foothill Blvd
Sunland, CA 91040-2937

Phone

(818) 353-5520

Fax

(818) 353-4387

NPI assigned

May 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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.

• Homeira Firoozeh & Mahvash Emami Sadr Inc

  dba Sunland Dental Care

  • Dentist
  • Sunland, CA
  • NPI 1750483103
  NPD (past) Authorized official
• Pars Dental Group

  • Dentist
  • Sunland, CA
  • NPI 1770918377
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891905626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 FOOTHILL BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402937",
            "telephone_number": "818-353-5520",
            "fax_number": "818-353-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 FOOTHILL BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402937",
            "telephone_number": "818-353-5520",
            "fax_number": "818-353-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMAMISADR",
        "first_name": "MAHVASH",
        "name_prefix": "Mrs.",
        "name_suffix": "II",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Roland Yakubov Professional Dental Inc
• Dream Hospice Care, Inc.
• Kristina Ann Drossos
• DRS Orders Pharmacy Inc (DRS Orders Pharmacy)
• Ellenbogen House
• Esmeralda Home Health, Inc.
• Evolving Minds Services LLC
• Faith Over Fear Recovery Inc
• Sana Fazai, RPH
• Suzannah G Ferron, LMFT

• Dentist in Sunland, CA
• Providers in Sunland, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.