Individual provider Active NPI

Sean Sohail Hakimi, D.D.S.

  • General Practice Dentistry
  • Long Beach, CA
National Provider Identifier
1922298074
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39643 Issued in CA
Practice address
3821 Atlantic Ave Ste D
Long Beach, CA 90807-3533
Phone
(562) 426-0778
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39643 CA Primary

Addresses

Primary practice location

3821 Atlantic Ave Ste D
Long Beach, CA 90807-3533

Mailing address

2644 Foothill Blvd
La Crescenta, CA 91214-3510
Phone (818) 248-9988

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
39643CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Sohail DDS Inc Current Accepting new patients
S Sean Hakimi DDS Inc CurrentSince Jul 16, 2023 Accepting new patients
Sohail Hakimi DDS Dental Group Current Accepting new patients
S. Sean Hakimi Dental Corporation General Practice Past Accepting new patients
Vista Village Dental Past Accepting new patients

Locations

3821 Atlantic Ave
Ste D
Long Beach, CA 90807
Phone (562) 424-8666

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1922298074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 FOOTHILL BLVD",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143510",
            "telephone_number": "818-248-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 ATLANTIC AVE STE D",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073533",
            "telephone_number": "562-426-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIMI",
        "first_name": "SEAN",
        "middle_name": "SOHAIL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.