Nigar Yusifova

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

65117 Issued in CA

Practice address

4711 W Ashlan Ave
Fresno, CA 93722-4307

Phone

(310) 990-2576

NPI assigned

May 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: nigar.yusifova.p4@direct.vht.nextgenshare.com

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1184034811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 W ASHLAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 W ASHLAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224307",
            "telephone_number": "310-990-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSIFOVA",
        "first_name": "NIGAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://vht.org/",
            "affiliation": "N",
            "address_1": "4711 W Ashlan Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937224307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer H Yun, PHARMD
• Jin Yun, DDS
• Elson Chang Yung, MD
• Kayanne Yung
• Sharlyn Yurizza
• Diane Yusuf
• Kyle Chadwick Chua Yutiamco, PT, PTA, RPT
• Z Family Health Clinic, Inc.
• Rosanna Rita Zabel, BA
• Farzin Zabihi, D.D.S.

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.