Lamaso Johny Sada, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

108015 Issued in CA

Practice address

201 E Orangeburg Ave Ste C
Modesto, CA 95350-5355

Phone

(209) 322-4331

NPI assigned

Sep 26, 2022

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

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.

• Lamaso Dental Corporation

  • General Practice Dentistry
  • Modesto, CA
  • NPI 1033060728
  NPD Authorized official
• S.H.Desai, D.D.S. Dental Corporation

  dba Turlock Children's Dentistry

  • Dentist
  • Turlock, CA
  • NPI 1710546536
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1982327706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 CANCUN CT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953557944",
            "telephone_number": "209-872-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E ORANGEBURG AVE STE C",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505355",
            "telephone_number": "209-322-4331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 Geer Rd",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "95382",
            "country_code": "US",
            "telephone_number": "209-353-9912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADA",
        "first_name": "LAMASO",
        "middle_name": "JOHNY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Marie Sabin, M.D.
• Jennifer L Sabo
• Mohamad Sabri
• Philipp Andreas Sack, M.D.
• Thomas Sackett
• Tamara Johny Sada, PHARMD
• Iaisha Sadat, RN, FNP-C
• Austin Saechao
• Lydia Ann Saechao
• Brisa Saenz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.