Organization Active NPI

Benjamin Yagoubian DDS, MD a PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Torrance, CA
National Provider Identifier
1154878544
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
OMS105 Issued in CA
Legal business name
BENJAMIN YAGOUBIAN DDS, MD A PC
Practice address
23451 Madison St Ste 120
Torrance, CA 90505-4736
Phone
(818) 404-2104
NPI assigned
Sep 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Authorized official

Name
Dr. Benjamin Yagoubian, DDS, MDNPI 1891926341
Title
Doctor
Phone
(818) 404-2104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X OMS105 CA Primary

Addresses

Primary practice location

23451 Madison St Ste 120
Torrance, CA 90505-4736

Mailing address

4452 Estrondo Dr
Encino, CA 91436-3263

National Provider Directory

National Provider Directory

Locations

23451 Madison St
Ste 120
Torrance, CA 90505
Phone (310) 373-0667

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1154878544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 ESTRONDO DR",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 120",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054736",
            "telephone_number": "818-404-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN YAGOUBIAN DDS, MD A PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "YAGOUBIAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "818-404-2104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "OMS105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.