Pooya Sarrafzadeh, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

111872 Issued in CA

Practice address

4142 Adams Ave
San Diego, CA 92116-2592

Phone

(619) 326-0157

NPI assigned

Jul 9, 2025

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

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1952292930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 COLUMBIA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036004",
            "telephone_number": "408-655-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 ADAMS AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162592",
            "telephone_number": "619-326-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARRAFZADEH",
        "first_name": "POOYA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Lauren Sarna, MD
• Madeleine Ann Sarner, M.S. CCC-SLP
• Ethina Lerese Sarno
• Mia C Sarno
• Karen Saroki, M.D.
• Dan Sarris
• Yvonne Islas Sarriz-Rivera
• Noura Sarsam
• Elenaz Sarshar, D.D.S
• Andrea Kristine Sartor, LMFT

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Jul 9, 2025; 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.