Amir Sanjabi

Primary specialty

DentistTaxonomy code 122300000X

License

100612 Issued in CA

Practice address

1335 Manhattan Beach Blvd
Apt 03
Manhattan Beach, CA 90266-5233

Phone

(949) 419-7970

NPI assigned

Aug 11, 2016

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1992259592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 MANHATTAN BEACH BLVD APT 3",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 MANHATTAN BEACH BLVD",
            "address_2": "APT 03",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665233",
            "telephone_number": "949-419-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANJABI",
        "first_name": "AMIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maira Sandoval
• Muriel S Savikas, PH.D.
• Schertz Chiropractic Clinic
• Arthur Williwm Schultz, D.D.S.
• Marlene M. Martha Schultz, D.D.S.
• Lois Schunk, MFT

• Dentist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.