Sepehr Setareh, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

54203 Issued in CA

Practice address

919 W Avenue J Ste C
Lancaster, CA 93534-3432

Phone

(661) 949-8288

Fax

(661) 949-2455

NPI assigned

Nov 28, 2006

Last updated

Aug 24, 2021By the provider in NPPES

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)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: ssetareh@direct.westerndental.com

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.

• Setareh Dental Group DDS, Inc.

  • Dental Clinic/Center
  • Lancaster, CA
  • NPI 1356823017
  Authorized official Same address or phone
• Art Dental

  • Dentist
  • Lancaster, CA
  • NPI 1750509881
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1932275062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 ROSCOMARE RD UNIT F17",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771840",
            "telephone_number": "310-351-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W AVENUE J STE C",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343432",
            "telephone_number": "661-949-8288",
            "fax_number": "661-949-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETAREH",
        "first_name": "SEPEHR",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sueling Serrano
• Yenifer Areli Serrano
• Alejandra Servin
• Samantha Servin
• Setareh Dental Group DDS, Inc.
• Sethu V. Madhavan, MD Inc
• Nicole Cynthia Sfeir Trikha, MD
• Shab Medical Inc
• Lori Shafer
• Sherry Shaffer, OTRL

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.