Farjam Shadaiee Yashmerani, DDS INC

Primary specialty

DentistTaxonomy code 122300000X

License

47173 Issued in CA

Practice address

445 E Anaheim St
M
Wilmington, CA 90744

Phone

(310) 835-3535

Fax

(310) 835-3030

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Farjam Shadaiee Yashmerani, DDS Inc.

  • Dentist
  • Wilmington, CA
  • NPI 1255720215
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548310790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E ANAHEIM ST",
            "address_2": "M",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "90744",
            "telephone_number": "310-835-3535",
            "fax_number": "310-835-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E ANAHEIM ST",
            "address_2": "M",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "90744",
            "telephone_number": "310-835-3535",
            "fax_number": "310-835-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADAIEE YASHMERANI",
        "first_name": "FARJAM",
        "name_prefix": "Dr.",
        "credential": "DDS INC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9396201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Santiago, NP
• Monica E Scott, RNIII
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• Monica Sedillo
• Josephine Marlene Servin, L.C.S.W
• Anokhi Shah, MD
• Paul J Shelton, M.D.
• Evelyn Shieh
• Evelyn R Sia, PHARMACIST
• Homan Siman, MD

• Dentist in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Dentist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.