Yassim Gomes Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

61093 Issued in CA

Legal business name

YASSIM GOMES DENTAL CORPORATION

Doing business as

CDI Dental Group

Practice address

2690 Pacific Ave
Suite 255
Long Beach, CA 90806-2657

Phone

(562) 330-0557

NPI assigned

Dec 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Iramaia Yassim, D.D.S.

Title

President

Phone

(562) 330-0557

Specialties & licenses 1

Addresses

Other names 1

• CDI Dental Group Doing business as

Locations

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1205370087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 PACIFIC AVE",
            "address_2": "SUITE 255",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-330-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 PACIFIC AVE",
            "address_2": "SUITE 255",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062657",
            "telephone_number": "562-330-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASSIM GOMES DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "YASSIM",
        "authorized_official_first_name": "IRAMAIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-330-0557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDI Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lotus Yao
• Phillip Yao
• Ariane Yap
• Cynthia Anne Yarberry, MS, RN, WOCN
• David Moshe Yashar, MD
• James D. Yates, M.D.
• Jennifer Yates
• Michael Yau
• Nicole Ybanez
• Tyler Ybarbo

• Dentist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.