<unavail> in Palmdale, CA - Medicare Dentist

is a medicare enrolled dental clinic (Dentist - General Practice) in Palmdale, California. The current practice location for is 38750 Trade Center Dr Ste J, Palmdale, California. For appointments, you can reach them via phone at (661) 267-6400. The mailing address for is 38750 Trade Center Dr Ste J, Palmdale, California and phone number is (661) 267-6400.

is licensed to practice in California (license number 63715). The clinic also participates in the medicare program and its NPI number is 1013396423. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (661) 267-6400.

Contact Information


	38750 Trade Center Dr Ste J Palmdale CA 93551-3787
	(661) 267-6400
	Not Available

Map and Direction

Dental Care Clinic Profile

Full Name
Speciality	Dentist
Location	38750 Trade Center Dr Ste J, Palmdale, California
Authorized Official Name and Position	Randall Sagisi (PRESIDENT)
Authorized Official Contact	6612676400
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
38750 Trade Center Dr Ste J Palmdale CA 93551-3787 Ph: (661) 267-6400	38750 Trade Center Dr Ste J Palmdale CA 93551-3787 Ph: (661) 267-6400

NPI Details:

NPI Number	1013396423
Provider Enumeration Date	05/19/2015
Last Update Date	05/19/2015

Medicare PECOS Information:

Medicare PECOS PAC ID	5597095570
Medicare Enrollment ID	O20190918002544

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013396423	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	63715 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Randall A Sagisi
Provider Type	Practitioner - Oral Surgery
Provider Identifiers	NPI Number: 1285976795 PECOS PAC ID: 6406186485 Enrollment ID: I20190918002685

Reviews and Comments

Dental Clinics in Palmdale, CA

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Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2508 E Palmdale Blvd, Palmdale, CA 93550 Phone: 661-947-9990 Fax: 661-947-2452
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 W Palmdale Blvd Ste D, Palmdale, CA 93551 Phone: 661-265-7397

- Medicare Dental Clinic in Palmdale, CA