Individual provider Active NPI

Roya Shoffet-Yaghoubian, DDS,DMD

  • General Practice Dentistry
  • West Hills, CA
National Provider Identifier
1487799227
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40043 Issued in CA
Practice address
7230 Medical Center Dr Ste 208
West Hills, CA 91307-4007
Phone
(818) 334-6655
Fax
(818) 598-8673
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40043 CA Primary

Addresses

Primary practice location

7230 Medical Center Dr Ste 208
West Hills, CA 91307-4007

Mailing address

7230 Medical Center Dr Ste 208
West Hills, CA 91307-4007
Phone (818) 334-6655

Other identifiers 1

IdentifierTypeStateIssuer
B40043-01MedicaidCA

Other names 1

  • Dr. Roya Shoffet Yaghoubian Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161031001304 CA Order and Referring Only - DentistPractitioner - Dentist 0547548273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1487799227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 208",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074007",
            "telephone_number": "818-334-6655",
            "fax_number": "818-598-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 208",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074007",
            "telephone_number": "818-334-6655",
            "fax_number": "818-598-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOFFET-YAGHOUBIAN",
        "first_name": "ROYA",
        "name_prefix": "Dr.",
        "credential": "DDS,DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B40043-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROYA",
            "last_name": "YAGHOUBIAN",
            "middle_name": "SHOFFET",
            "prefix": "DR.",
            "credential": "DDS,DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.