Younes Jonah Tabrizi, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

55779 Issued in CA

Practice address

993 Governor Dr Ste 104
El Dorado Hills, CA 95762-4290

Phone

(916) 941-1515

Fax

(916) 941-0505

NPI assigned

Jul 12, 2007

Last updated

Nov 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Younes Jonah Tabrizi, DDS Dental Corp.

  • Dental Clinic/Center
  • El Dorado Hills, CA
  • NPI 1588267512
  NPD
• Jared W. Ruminson, DDS

  • General Practice Dentistry
  • El Dorado Hills, CA
  • NPI 1750404125
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1245439108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 GOVERNOR DR",
            "address_2": "STE 104",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624290",
            "telephone_number": "916-941-1515",
            "fax_number": "916-941-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 GOVERNOR DR STE 104",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624290",
            "telephone_number": "916-941-1515",
            "fax_number": "916-941-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Scripps Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256206",
            "country_code": "US",
            "telephone_number": "916-941-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABRIZI",
        "first_name": "YOUNES",
        "middle_name": "JONAH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katelin Tanda

• Dentist in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.