Individual provider Active NPI

Gina Yeroshalmi Shayefar, D.D.S.

  • Dentist
  • Santa Monica, CA
National Provider Identifier
1275947830
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44442 Issued in CA
Practice address
201 Ocean Ave Unit 404B
Santa Monica, CA 90402-1457
Phone
(310) 770-7858
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44442 CA Primary

Addresses

Primary practice location

201 Ocean Ave Unit 404B
Santa Monica, CA 90402-1457

Mailing address

201 Ocean Ave Unit 404B
Santa Monica, CA 90402-1457
Phone (310) 770-7858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44442CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1275947830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OCEAN AVE UNIT 404B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904021457",
            "telephone_number": "310-770-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OCEAN AVE UNIT 404B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904021457",
            "telephone_number": "310-770-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYEFAR",
        "first_name": "GINA",
        "middle_name": "YEROSHALMI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.