Organization Active NPI

Yasaman Sani DDS Inc.

  • Dentist
  • Concord, CA
National Provider Identifier
1114474392
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53029 Issued in CA
Legal business name
YASAMAN SANI DDS INC.
Practice address
4125 Concord Blvd.
Suite a
Concord, CA 94519
Phone
(925) 849-4469
Fax
(925) 849-4697
NPI assigned
Sep 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Yasman Sani, DDS
Title
Ceo
Phone
(925) 588-4294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 53029 CA Primary

Addresses

Primary practice location

4125 Concord Blvd.
Suite a
Concord, CA 94519

Mailing address

4125 Concord Blvd.
Suite a
Concord, CA 94519
Phone (925) 849-4469

Other names 1

  • Concord Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clayton Dental Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4125 Concord Blvd
Ste A
Concord, CA 94519
Phone (925) 849-4469

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1114474392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 CONCORD BLVD.",
            "address_2": "SUITE A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94519",
            "telephone_number": "925-849-4469",
            "fax_number": "925-849-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 CONCORD BLVD.",
            "address_2": "SUITE A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94519",
            "telephone_number": "925-849-4469",
            "fax_number": "925-849-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASAMAN SANI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "SANI",
        "authorized_official_first_name": "YASMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-588-4294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.