Samira Jaberi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS102549 Issued in CA

Practice address

361 3Rd St Ste H
San Rafael, CA 94901-3580

Phone

(415) 456-3273

NPI assigned

Jun 25, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Samira Jaberi DDS Inc

  • Dental Clinic/Center
  • El Cerrito, CA
  • NPI 1871240754
  NPD Authorized official

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1942795703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 SACRAMENTO ST APT 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081968",
            "telephone_number": "925-818-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 3RD ST STE H",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013580",
            "telephone_number": "415-456-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABERI",
        "first_name": "SAMIRA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS102549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dena Ito, L.AC.
• Susan I. Ivancic, RN, BSN, CDE, SNIV
• Erin Ivison
• Bea Ivory-Chambers, LMFT
• Jeffrey Takashi Iwami, O.D.
• Floyd Jackson
• Jessica Annette Jackson
• Phoenix Jackson
• Talita Calazans Jackson, MA, LMFT
• Larry Alan Jacobs, MFT

• General Practice Dentistry in San Rafael, CA
• Providers in San Rafael, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.