MEDICARE: SIRJANI DDS ENDODONTICS A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics

General Provider Information

NPI Number	:	1285589515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIRJANI DDS ENDODONTICS A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	1010 CALLOWAY DR UNIT 200B
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93312-6296
Country	:	US
Telephone Number	:	661-432-1630
Fax Number	:	661-432-1632

Provider Business Practice Location Address
First Line	:	1010 CALLOWAY DR UNIT 200B
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93312-6296
Country	:	US
Telephone Number	:	661-432-1630
Fax Number	:	661-432-1632

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MOHAMMAD SIRJANI
Credential	:	DDS
Telephone Number	:	310-892-3805

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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