Individual provider Active NPI

Aida Yashar-Matian, DDS,MS

  • Periodontics
  • Tarzana, CA
National Provider Identifier
1598813693
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
42787 Issued in CA
Practice address
18607 Ventura Blvd
Suite# 302
Tarzana, CA 91356-4159
Phone
(818) 345-5546
Fax
(818) 345-6326
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 42787 CA Primary

Addresses

Primary practice location

18607 Ventura Blvd
Suite# 302
Tarzana, CA 91356-4159

Mailing address

18607 Ventura Blvd
Suite# 302
Tarzana, CA 91356-4159
Phone (818) 345-5546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1598813693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD",
            "address_2": "SUITE# 302",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564159",
            "telephone_number": "818-345-5546",
            "fax_number": "818-345-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD",
            "address_2": "SUITE# 302",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564159",
            "telephone_number": "818-345-5546",
            "fax_number": "818-345-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASHAR-MATIAN",
        "first_name": "AIDA",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "42787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.