Azusa Modern Dentistry, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AZUSA MODERN DENTISTRY, INC

Practice address

806 N Azusa Ave
Azusa, CA 91702-2509

Phone

(626) 541-9615

NPI assigned

May 27, 2025

Last updated

May 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Youstina Mekhael

Title

Owner

Phone

(714) 845-8500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1184417859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N AZUSA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022509",
            "telephone_number": "626-541-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZUSA MODERN DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "MEKHAEL",
        "authorized_official_first_name": "YOUSTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-845-8500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jafar Ayyad, MD
• Hilda Azpeitia, PA-C
• Azusa Dialysis Center LLC
• Azusa Family Dentistry,Dental Office of Patel Family Dental Corporation
• Azusa Medical Pharmacy
• Azusa Pacific University
• Azusa Pacific University
• Azusa Physical Therapy Associates
• Azusa Surgery Center LLC
• Azusa Unified School District

• General Practice Dentistry in Azusa, CA
• Providers in Azusa, 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 May 27, 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.