Healthcare Provider Details

I. General information

NPI: 1285589515
Provider Name (Legal Business Name): SIRJANI DDS ENDODONTICS A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 CALLOWAY DR UNIT 200B
BAKERSFIELD CA
93312-6296
US

IV. Provider business mailing address

1010 CALLOWAY DR UNIT 200B
BAKERSFIELD CA
93312-6296
US

V. Phone/Fax

Practice location:
  • Phone: 661-432-1630
  • Fax: 661-432-1632
Mailing address:
  • Phone: 661-432-1630
  • Fax: 661-432-1632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMAD SIRJANI
Title or Position: OWNER
Credential: DDS
Phone: 310-892-3805