MEDICARE: DR. NIKZAD SABET JAVID D.M.D.

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	1223G0001X	General Practice Dentistry	36563	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	36563	OTHER	CA	CALIFORNIA DENTAL L.

General Provider Information

NPI Number	:	1770622912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIKZAD SABET JAVID D.M.D.

Provider Business Mailing Address
First Line	:	143 W POLSON AVE
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-0290
Country	:	US
Telephone Number	:	559-298-7375
Fax Number	:	559-298-7570

Provider Business Practice Location Address
First Line	:	200 W SHAW AVE STE 110
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-3684
Country	:	US
Telephone Number	:	559-325-6161
Fax Number	:	559-325-6166

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	02/08/2026

Similar Medicare Providers

1255414017 — DR. DANIEL THOMAS LADEAIROUS D.C.
Practice Location Address:

200 W SHAW AVE , #114
CLOVIS, CA
93612-3684

Practice Phone: 559-273-6540
Practice Fax:

1508089889 — F.PAKRAVAN DENTAL CORPORATION
Practice Location Address:

200 W SHAW AVE , SUITE 110
CLOVIS, CA
93612-3684

Practice Phone: 559-325-6161
Practice Fax: 559-325-6166

1376711259 — ROGER ALLAN WEBSTER D.D.S, M.S.
Practice Location Address:

200 W SHAW AVE STE 110
CLOVIS, CA
93612-3684

Practice Phone: 559-325-6161
Practice Fax: 559-325-6166

1992941256 — BERTHA JOY ARDER RDA
Practice Location Address:

200 W SHAW AVE STE 110
CLOVIS, CA
93612-3684

Practice Phone: 559-325-6161
Practice Fax:

1629214986 — ROBYN CONNER RDA
Practice Location Address:

200 W SHAW AVE STE 110
CLOVIS, CA
93612-3684

Practice Phone: 559-325-6161
Practice Fax:

1891931150 — LIZETT VANESSA GARCIA
Practice Location Address:

200 W SHAW AVE STE 110
CLOVIS, CA
93612-3684

Practice Phone: 559-325-6161
Practice Fax:

Directions to “ DR. NIKZAD SABET JAVID D.M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.