DR. SOUDABEH SHARAFI DMD
NPI 1245289107
Dentist - Pediatric Dentistry in San Diego, CA

Active since May 09, 2006PECOS Enrolled
12750 CARMEL COUNTRY RD STE 215, SUITE # 215, SAN DIEGO, CA 92130(858) 259-1400(858) 259-1401 Get Directions Write a Review

NPPES record last updated: October 5, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Soudabeh Sharafi Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SOUDABEH SHARAFI DMD (NPI 1245289107) is an individual pediatric dentistry provider in San Diego, California, licensed in California (52929) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245289107
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. SOUDABEH SHARAFICredential: DMD
Location Address12750 CARMEL COUNTRY RD STE 215, SUITE # 215San Diego, CA 92130-2172
Mailing Address12750 Carmel Country Rd Ste 215, Suite # 215San Diego, CA 92130-2172 · (858) 259-1400 · Fax (858) 259-1401
Fax(858) 259-1401
Sole ProprietorNo
Enumeration DateMay 9, 2006
Last NPPES UpdateOctober 5, 2015
NPI 1245289107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CA · 52929
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

12750 CARMEL COUNTRY RD STE 215, San Diego, CA 92130

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Soudabeh Sharafi Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
12750 CARMEL COUNTRY RD STE 215
SAN DIEGO, CA 92130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245289107, enumerated as an "individual" on May 09, 2006.

The provider is located at 12750 CARMEL COUNTRY RD STE 215 SUITE # 215 SAN DIEGO, CA 92130 and the phone number is (858) 259-1400.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.