Kenneth Alan Yaros, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35361 Issued in CA

Practice address

2180 Garnet Ave
Suite 1-K
San Diego, CA 92109-3610

Phone

(858) 270-4904

Fax

(858) 270-4275

NPI assigned

Mar 15, 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

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.

Opted out of Medicare

Yes, effective May 1, 2016 through May 1, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487788139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CERRO VERDE DR",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751714",
            "telephone_number": "858-792-0669",
            "fax_number": "858-792-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 GARNET AVE",
            "address_2": "SUITE 1-K",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093610",
            "telephone_number": "858-270-4904",
            "fax_number": "858-270-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAROS",
        "first_name": "KENNETH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Ashley Yarbrough, M.D.
• Jason Todd Yarbrough, PA
• Jennifer Yarbrough, PA
• Nathanael Lee Yarbrough, IDC
• Touraj Yari
• Daniel Lyle-Miller Yaroshefsky
• David Yaruss, PHARM.D.
• Maria Yarza
• Yasaman Sardari DDS PC
• Arnold Abraham Yashar, MD

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.