Organization Active NPI

Dr. Roland Yakubov Professional Dental Inc

  • Dentist
  • Sunland, CA
National Provider Identifier
1174913404
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57064 Issued in CA
Legal business name
DR. ROLAND YAKUBOV PROFESSIONAL DENTAL INC
Practice address
8041 Foothill Blvd
Sunland, CA 91040-2957
Phone
(818) 726-8534
NPI assigned
Jan 26, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Roland Yakubov, DMDNPI 1023268513
Title
Doctor
Phone
(818) 726-8534

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

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

8041 Foothill Blvd
Sunland, CA 91040
Phone (818) 726-8534

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 57064 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

8041 Foothill Blvd
Sunland, CA 91040-2957

Mailing address

8041 Foothill Blvd
Sunland, CA 91040-2957

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
1174913404MedicaidCA
1235563396MedicaidCA
1538490339MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 22, 2025.

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763769600000",
    "number": "1174913404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8041 FOOTHILL BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8041 FOOTHILL BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402957",
            "telephone_number": "818-726-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROLAND YAKUBOV PROFESSIONAL DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "818-726-8534",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174913404",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235563396",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538490339",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2025; 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.