Organization Active NPI

S Yashari DDS Inc

  • Dentist
  • Hawthorne, CA
National Provider Identifier
1174953517
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57255 Issued in CA
Legal business name
S YASHARI DDS INC
Practice address
13109 Hawthorne Blvd
Hawthorne, CA 90250-4416
Phone
(310) 973-2600
NPI assigned
Nov 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Dr. Soheil Shawn Yashari, DDS
Title
President
Phone
(310) 770-8074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 57255 CA Primary

Addresses

Primary practice location

13109 Hawthorne Blvd
Hawthorne, CA 90250-4416

Mailing address

10417 Louisiana Ave Apt 303
Los Angeles, CA 90025-6069
Phone (310) 770-8074

National Provider Directory

National Provider Directory

Locations

13109 Hawthorne Blvd
Hawthorne, CA 90250
Phone (310) 775-2557

Practitioners & affiliated clinicians

Practitioners 2

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": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1174953517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10417 LOUISIANA AVE APT 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256069",
            "telephone_number": "310-770-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13109 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504416",
            "telephone_number": "310-973-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S YASHARI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "YASHARI",
        "authorized_official_first_name": "SOHEIL",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-770-8074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.