Chanel Yousefzadeh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

62910 Issued in CA

Practice address

435 N. Bedford Dr.
Suite 205
Beverly Hills, CA 90210

Phone

(310) 275-5970

Fax

(310) 275-6233

NPI assigned

Sep 19, 2013

Last updated

Sep 19, 2013By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Salina Mahgerefteh DDS Inc

  • Dental Clinic/Center
  • Beverly Hills, CA
  • NPI 1184205304
  NPD (past)

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1366878548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR",
            "address_2": "SUITE 205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104321",
            "telephone_number": "310-275-5970",
            "fax_number": "310-275-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N. BEDFORD DR.",
            "address_2": "SUITE 205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-275-5970",
            "fax_number": "310-275-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEFZADEH",
        "first_name": "CHANEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Young, M.A., MFT
• Marianne Frances Young, LCSW,PHD
• Nathan Young
• Your Choice Home Health Care Agency
• Keyvan Yousefi, M..D.
• Fred Yousefzadeh, DDS
• Elior Youshaei
• Justin Yovino, M.D.
• Sarah Kafi Yovino, MD
• Shui Yu, PT, DPT, MPH, CLT

• Dentist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.