Individual provider Active NPI

Armita Ehtessabian, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Yorba Linda, CA
National Provider Identifier
1407579972
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
104665 Issued in CA
Practice address
18220 Yorba Linda Blvd Ste 305
Yorba Linda, CA 92886-4032
Phone
(714) 528-2000
NPI assigned
Sep 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 104665 CA Primary

Addresses

Primary practice location

18220 Yorba Linda Blvd Ste 305
Yorba Linda, CA 92886-4032

Mailing address

18220 Yorba Linda Blvd Ste 305
Yorba Linda, CA 92886-4032
Phone (714) 528-2000

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
104665CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter H Pham DDS Inc CurrentSince Oct 12, 2025 Accepting new patients
Thu-Thuy Vo, D.D.S. Inc. Single Specialty PastSince Oct 12, 2025 Accepting new patients
Samuel S Berro DDS, Inc Orthodontics and Dentofacial Orthopedics PastSince Sep 1, 2022 Accepting new patients

Locations

18220 Yorba Linda Blvd
Ste 305
Yorba Linda, CA 92886
Phone (714) 528-2000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1407579972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18220 YORBA LINDA BLVD STE 305",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864032",
            "telephone_number": "714-528-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 YORBA LINDA BLVD STE 305",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864032",
            "telephone_number": "714-528-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHTESSABIAN",
        "first_name": "ARMITA",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "104665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.