Mark S Yafai DDS MD Inc

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

A104572 Issued in CA

Legal business name

MARK S YAFAI DDS MD INC

Practice address

12301 Wilshire Blvd Ste 301
Los Angeles, CA 90025-1022

Phone

(310) 826-8222

Fax

(310) 826-4111

NPI assigned

Apr 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mark Shahram Yafai, DDS., MD

Title

Owner

Phone

(310) 892-1969

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isac Yafai, DDS

  • Dentist
  • Encino, CA
  • NPI 1497842041
  NPD (past)

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

{
    "created_epoch": "1303516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1598056624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 WILSHIRE BLVD STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251022",
            "telephone_number": "310-826-8222",
            "fax_number": "310-826-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 WILSHIRE BLVD STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251022",
            "telephone_number": "310-826-8222",
            "fax_number": "310-826-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S YAFAI DDS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-23",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "YAFAI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "SHAHRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-892-1969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS., MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "50117",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A104572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark J. Spoonamore M.D., Inc.
• Mark K. Sakakura, DDS., a Professional Corporation
• Mark L Labowe M D a Prof Corp
• Mark Lensky MD Inc
• Mark R. Weiss, D.P.M.
• Mark S. Laska, D.D.S.
• Mark Song MD PHD Inc
• Mark Treystman DDS Inc
• Mark W. Yamazaki M.D. Inc.
• Derek Mark, MD

• Oral & Maxillofacial Surgery (D.M.D.) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.