Individual provider Active NPI

Yasamin Tarassoli, DMD

  • Dentist
  • Martinez, CA
National Provider Identifier
1245565159
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58745 Issued in CA
Practice address
1175 Arnold Dr Ste C
Martinez, CA 94553-4111
Phone
(925) 229-3232
Fax
(925) 228-1420
NPI assigned
Oct 9, 2009
Last updated
Nov 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 58745 CA Primary

Addresses

Primary practice location

1175 Arnold Dr Ste C
Martinez, CA 94553-4111

Mailing address

1175 Arnold Dr Ste C
Martinez, CA 94553-4111
Phone (925) 229-3232

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL yasamin.tarassoli@gmail.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151027001873 CA Order and Referring Only - DentistPractitioner - Dentist 8426367756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yasamin Tarassoli, DDS, Inc CurrentSince Nov 9, 2021 Accepting new patients

Locations

1175 Arnold Dr
Ste C
Martinez, CA 94553
Phone (925) 229-3232

Interoperability endpoints

  • Direct secure messaging: ytarassoli@direct.westerndental.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1245565159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 ARNOLD DR STE C",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534111",
            "telephone_number": "925-229-3232",
            "fax_number": "925-228-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 ARNOLD DR STE C",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534111",
            "telephone_number": "925-229-3232",
            "fax_number": "925-228-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARASSOLI",
        "first_name": "YASAMIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "yasamin.tarassoli@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1175 Arnold Dr Ste C",
            "city": "Martinez",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945534111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

Verify at the official NPI Registry.