Active NPI
Pooneh Sabo, DDS
- Dentist
- Santa Ana, CA
National Provider Identifier
1912134032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42602
- Practice address
- 2700 S Bristol St
Santa Ana, CA 92704-6202 - Phone
- (714) 444-3333
- NPI assigned
- Jun 16, 2009
- Last updated
- Jun 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 42602 | CA | Primary |
Addresses
Primary practice location
2700 S Bristol St
Santa Ana, CA 92704-6202
Mailing address
2700 S Bristol St
Santa Ana, CA 92704-6202
Phone (714) 444-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245110400000",
"number": "1912134032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 S BRISTOL ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046202",
"telephone_number": "714-444-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 S BRISTOL ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046202",
"telephone_number": "714-444-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABO",
"first_name": "POONEH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2009-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "42602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.