Search › California › 1223P0221X
Alireza Sadre-Nassiri, D.M.D
NPI 1740544303 · on the registry since 2012
Practice
- Address
- 925 Bevins Ct
Lakeport, CA 95453 - Phone
- (707) 263-8382
- Fax
- (707) 263-5326
- Organisation at this address
- Lake County Tribal Health Consortium Inc.
Lake County Tribal Health Consortium, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 44
Additional practice sites
- 6003 100th St Sw, Lakewood, WA
- 14440 Olympic Dr, Clearlake, CA
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 122300000X
122300000X
1223P0221X - Licence states on file
- NY, WA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California