Individual provider Active NPI

Farah Yasmeen, D.D.S

  • Dentist
  • Sacramento, CA
National Provider Identifier
1639522428
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
100313 Issued in CA
Practice address
2420 Del Paso Rd Ste 125
Sacramento, CA 95834-9678
Phone
(916) 333-3534
Fax
(916) 333-3991
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 100313 CA Primary

Addresses

Primary practice location

2420 Del Paso Rd Ste 125
Sacramento, CA 95834-9678

Mailing address

2420 Del Paso Rd Ste 125
Sacramento, CA 95834-9678
Phone (916) 333-3534

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

State licenses

LicenseStateTypeSpecialty
100313CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Yasmeen Dental Corporation Current Accepting new patients
Farah Yasmeen DDS Inc. CurrentSince Jul 31, 2022 Accepting new patients

Locations

2420 Del Paso Rd
Ste 125
Sacramento, CA 95834
Phone (916) 333-3534

1901 Watt Ave
Ste 6
Sacramento, CA 95825
Phone (916) 482-2755

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1639522428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 DEL PASO RD STE 125",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958349678",
            "telephone_number": "916-333-3534",
            "fax_number": "916-333-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 DEL PASO RD STE 125",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958349678",
            "telephone_number": "916-333-3534",
            "fax_number": "916-333-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASMEEN",
        "first_name": "FARAH",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.