Healthcare Provider Details

I. General information

NPI: 1447749957
Provider Name (Legal Business Name): SARAH ESMAILI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

669 CRESPI DR STE F
PACIFICA CA
94044-3436
US

IV. Provider business mailing address

10588 FLORA VISTA AVE
CUPERTINO CA
95014-1607
US

V. Phone/Fax

Practice location:
  • Phone: 650-359-1646
  • Fax:
Mailing address:
  • Phone: 415-308-6150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number105843
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: