Maryam Yazdizadeh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100007 Issued in CA

Practice address

7800 Niles St
Bakersfield, CA 93306-4922

Phone

(661) 328-4284

Fax

(661) 616-9980

NPI assigned

Dec 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

DentistAlso: Orofacial Pain

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regents of the University of CaliforniaGroup PAC ID 0547490534, 135 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Regents of the University of California

  • Podiatrist
  • Los Angeles, CA
  • NPI 1750723540
  Medicare reassignment Care Compare group
• Regents of the University of California

  • Durable Medical Equipment & Medical Supplies
  • Valencia, CA
  • NPI 1285507103
  NPD
• Regents of the University of California

  • Orthopaedic Surgery Physician
  • Van Nuys, CA
  • NPI 1336615988
  NPD

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1417322744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021559",
            "telephone_number": "661-635-3050",
            "fax_number": "661-635-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 NILES ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064922",
            "telephone_number": "661-328-4284",
            "fax_number": "661-616-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDIZADEH",
        "first_name": "MARYAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60460427",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rama Yasaei Mehr Jardi, MD, MSEOT
• Sreelatha Yasalapu
• Mia Yasonova
• Ramy Yassa
• Charles Joseph Elento Yatco
• Jaquelin I Ybarra
• Julianne Ybarra, LCSW
• Mardi Jo Yeary
• Gregory S Yeasley, LMFT
• Kacey Yeasley

• General Practice Dentistry in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.