Fred Sahafi

Primary specialty

SpecialistTaxonomy code 174400000X

License

A52188 Issued in CA

Practice address

7916 Eastern Ave
Suite 102
Bell Gardens, CA 90201-5461

Phone

(562) 928-7060

Fax

(562) 928-7090

NPI assigned

Mar 15, 2011

Last updated

Mar 15, 2011By 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

Other names 1

• Dr. Fereydoun Sahafi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1992004055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 EASTERN AVE",
            "address_2": "SUITE 102",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902015461",
            "telephone_number": "562-928-7060",
            "fax_number": "562-928-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 EASTERN AVE",
            "address_2": "SUITE 102",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902015461",
            "telephone_number": "562-928-7060",
            "fax_number": "562-928-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAFI",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A52188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEREYDOUN",
            "last_name": "SAHAFI",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nira Rodriguez
• Marielena Rubio
• Evette Ruiz, M.D.
• Miguel Angel Ruiz, DDS
• Rita Saade
• Sahawneh Dental Corporation (Bright Now Dental Bell Gardens)
• Kimberly Ayleen Salinas
• Vladimir Anthony Samonte, M.D.
• Camila Sanabria
• Mayra Elizabeth Sanchez

• Specialist in Bell Gardens, CA
• Providers in Bell Gardens, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.