Organization Active NPI

Ysadekddsinc

  • Health Maintenance Organization
  • Palmdale, CA
National Provider Identifier
1417488727
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
43293 Issued in CA
Legal business name
YSADEKDDSINC
Practice address
247 E Palmdale Blvd Ste B
Palmdale, CA 93550-4567
Phone
(661) 266-0300
NPI assigned
Mar 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Dr. Yasser Sadek, DDS
Title
Ceo
Phone
(209) 606-9598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 43293 CA Primary

Addresses

Primary practice location

247 E Palmdale Blvd Ste B
Palmdale, CA 93550-4567

Mailing address

247 E Palmdale Blvd Ste B
Palmdale, CA 93550-4567
Phone (661) 266-0300

National Provider Directory

National Provider Directory

Locations

247 E Palmdale Blvd
Ste B
Palmdale, CA 93550
Phone (661) 266-0300

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1417488727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 E PALMDALE BLVD STE B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504567",
            "telephone_number": "661-266-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 E PALMDALE BLVD STE B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504567",
            "telephone_number": "661-266-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YSADEKDDSINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "SADEK",
        "authorized_official_first_name": "YASSER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-606-9598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "43293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.