Sam Saadat DDS, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

58415 Issued in CA

Practice address

3327 Kimber Dr
Suite D
Newbury Park, CA 91320-4315

Phone

(805) 499-3691

Fax

(805) 499-4652

NPI assigned

Jun 30, 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

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Radfar Saadat Dental Partnership

  • General Practice Dentistry
  • Oxnard, CA
  • NPI 1780300855
  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1912135765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 KIMBER DR",
            "address_2": "SUITE D",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913204315",
            "telephone_number": "805-499-3691",
            "fax_number": "805-499-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 KIMBER DR",
            "address_2": "SUITE D",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913204315",
            "telephone_number": "805-499-3691",
            "fax_number": "805-499-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAADAT DDS",
        "first_name": "SAM",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Rose
• Michelle Rosen
• Amber James Roy, LICSW
• Greg Rubin, D.D.S.
• S&S Medical Supply
• Carrie A Sadler, PA-C
• Safehorizon Transport LLC
• Saghizadeh Dental Partnership
• Saghizadeh Dental Partnership
• Sam Saadat DDS a Professional Corporation

• Dentist in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.