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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SARA ASHLEY ARDEHALI
NPI 1912636663
Dentist - Pediatric Dentistry in Los Angeles, CA

Active since June 08, 2022
714 TIVERTON AVE, LOS ANGELES, CA 90095(310) 825-9789 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 8, 2026, Jun 8, 2022 (2 updates tracked since 2022).

About Sara Ashley Ardehali NPPES

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

SARA ASHLEY ARDEHALI (NPI 1912636663) is an individual pediatric dentistry provider in Los Angeles, California, licensed in California (111360) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1912636663
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameSARA ASHLEY ARDEHALI
Location Address714 TIVERTON AVELos Angeles, CA 90095-8361
Mailing Address430 N Bowling Green WayLos Angeles, CA 90049-2820 · (310) 487-0730
Phone(310) 825-9789
Sole ProprietorYes
Enumeration DateJune 8, 2022
Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1912636663 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 · 111360
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.
714 TIVERTON AVE, Los Angeles, CA 90095
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

DR. MYUNG S CHA DDS
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6510
ARYEH JULIUS IOSIF
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5619
DR. JEREMIAH WARREN DDS
Dentist
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 206-3904
JONATHAN JOSEPH KOREL
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 206-3904
DR. YATING PRISCILLA YOUNG DDS
Dentist (Periodontics)
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-3795
DR. AIDA SHADRAV DMD
Dentist (Pediatric Dentistry)
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9789
LIANA H SHEILY
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 794-5750
HANNAH BODNAR
Dentist
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9789

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 Sara Ardehali's NPI number?

The NPI number for Sara Ardehali is 1912636663. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Sara Ardehali located?

Sara Ardehali practices at 714 Tiverton Ave, Los Angeles, CA 90095. The listed phone number is (310) 825-9789.

What is Sara Ardehali's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Sara Ardehali was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.