EDALAT DENTAL GROUP, APC
NPI 1730794801
Clinic/Center - Dental in Northridge, CA
About Edalat Dental Group, Apc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDALAT DENTAL GROUP, APC (NPI 1730794801) is a healthcare organization registered as a dental in Northridge, California and active in the NPI registry since September 2020. The organization lists Saman Edalat, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edalat Dental Group, Apc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Edalat Dental Group, Apc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edalat Dental Group, Apc's NPI number?
The NPI number for Edalat Dental Group, Apc is 1730794801. It was assigned to this organization in the NPPES registry on September 15, 2020.
Where is Edalat Dental Group, Apc located?
Edalat Dental Group, Apc is located at 18450 Dearborn St, Northridge, CA 91325. The listed phone number is (310) 999-9669.
What is Edalat Dental Group, Apc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Edalat Dental Group, Apc enrolled in Medicare?
Yes. Edalat Dental Group, Apc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Edalat Dental Group, Apc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Edalat Dental Group, Apc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Edalat Dental Group, Apc was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Edalat Dental Group, Apc · NPI 1730794801
Dental organization in Northridge, California. Organization record, active in the CMS NPPES registry since September 15, 2020.
## Identity
- **NPI:** 1730794801 (Entity type: Organization)
- **Enumerated:** September 15, 2020
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Saman Edalat, PRESIDENT
## Practice location
- **Address:** 18450 DEARBORN ST, Northridge, CA 91325-2259
- **Phone:** (310) 999-9669
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1730794801) · Data from the CMS NPPES public registry.