Active NPI
Ysadekddsinc
- Health Maintenance Organization
- Palmdale, CA
National Provider Identifier
1417488727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 43293
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.