Shervin K Yazdi IX, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

41883 Issued in CA

Practice address

20700 Lake Chabot Rd
Suite 205
Castro Valley, CA 94546-5303

Phone

(510) 538-2098

Fax

(510) 538-1958

NPI assigned

Jan 23, 2007

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

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 and National Provider Directory roles.

• Shervin Yazdi DDS, Inc

  • Dental Clinic/Center
  • Castro Valley, CA
  • NPI 1578004818
  NPD (past) Authorized official
• Min-Jeong Kim, DDS, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Castrol Valley, CA
  • NPI 1356576532
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376697524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 LAKE CHABOT RD",
            "address_2": "SUITE 205",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465303",
            "telephone_number": "510-538-2098",
            "fax_number": "510-538-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 LAKE CHABOT RD",
            "address_2": "SUITE 205",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465303",
            "telephone_number": "510-538-2098",
            "fax_number": "510-538-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDI",
        "first_name": "SHERVIN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "name_suffix": "IX",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "41883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kun Xiao, MD MPH
• Ling Xu, M.D.
• Weiwei Xu, MD
• Helen Woohee Yang, MD
• Jiaqi Yang, R.D.
• Ruiyu Ye
• Yuwei Ye
• Craig Yeager, RN
• Alana Kathleen Yee, OTR/L
• Amanda Mercedes Yee, MD

• Pediatric Dentistry in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.