SARA REZAIE DMD NPI 1790136232

NPI Information

  • NPI: 1790136232
  • Provider Name: SARA REZAIE, DMD
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11635 SOUTH ST
    ARTESIA, CA
    ZIP 90701
  • Phone: (310) 820-9933

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NPI Details

Sara Rezaie, DMD is a periodontics dentist in Artesia, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Sara Rezaie, DMD NPI is 1790136232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11635 SOUTH ST
ARTESIA, CA
ZIP 90701-628
Phone: (310) 820-9933

The NPI 1790136232 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/27/2016 and was last updated on 10/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistDS040906PENNSYLVANIANo
21223P0300XDentistPeriodonticsDDS108098CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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