Tavallaei, D.M.D., Corporation
NPI 1194107748ActiveOrganization· Dentist, Pediatric Dentistry· Sacramento, CA
Dentist, Pediatric Dentistry in Sacramento, California, registered in NPPES in June 2015. The authorized official on file is Megan Castillo, Operations Manager.
Overview
| NPI | 1194107748 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 19, 2015 |
| Last updated in NPPES | Mar 1, 2023 |
| Certified by provider | Mar 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 48036 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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