Healthcare Provider Details

I. General information

NPI: 1558092072
Provider Name (Legal Business Name): ARIA SIKAROUDI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2022
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 GOLDEN GATE AVE UNIT 306
SAN FRANCISCO CA
94102-3450
US

IV. Provider business mailing address

555 GOLDEN GATE AVE UNIT 306
SAN FRANCISCO CA
94102-3450
US

V. Phone/Fax

Practice location:
  • Phone: 628-286-6260
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS106722
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberPTL19951
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: