Organization Active NPI

Lavasani & Eslami Dental Group Inc

  • Endodontics
  • Cupertino, CA
National Provider Identifier
1174078539
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
64490 Issued in CA
Legal business name
LAVASANI & ESLAMI DENTAL GROUP INC
Practice address
10311 S de Anza Blvd Ste 6
Cupertino, CA 95014-3028
Phone
(408) 807-1258
Fax
(408) 807-1688
NPI assigned
Aug 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Dr. Yashar Eslami, DDSNPI 1851684153
Title
President
Phone
(408) 807-1258

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 64490 CA Primary

Addresses

Primary practice location

10311 S de Anza Blvd Ste 6
Cupertino, CA 95014-3028

Mailing address

10311 S de Anza Blvd Ste 6
Cupertino, CA 95014-3028
Phone (408) 807-1258

National Provider Directory

National Provider Directory

Locations

10311 S De Anza Blvd
Ste 6
Cupertino, CA 95014
Phone (408) 807-1258

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": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1174078539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10311 S DE ANZA BLVD STE 6",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143028",
            "telephone_number": "408-807-1258",
            "fax_number": "408-807-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10311 S DE ANZA BLVD STE 6",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143028",
            "telephone_number": "408-807-1258",
            "fax_number": "408-807-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVASANI & ESLAMI DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "ESLAMI",
        "authorized_official_first_name": "YASHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-807-1258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "64490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.