Active NPI
Natasha Yashar, DDS, MS
- Periodontics
- Los Angeles, CA
National Provider Identifier
1649427972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 55608
- Practice address
- 13529 Bayliss Rd
Los Angeles, CA 90049-1812 - Phone
- (310) 463-8595
- NPI assigned
- Aug 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 55608 | CA | Primary |
Addresses
Primary practice location
13529 Bayliss Rd
Los Angeles, CA 90049-1812
Mailing address
13529 Bayliss Rd
Los Angeles, CA 90049-1812
Phone (310) 463-8595
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150827000126 | CA | Order and Referring Only - Dentist | 7810203486 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55608 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219017600000",
"number": "1649427972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13529 BAYLISS RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900491812",
"telephone_number": "310-463-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13529 BAYLISS RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900491812",
"telephone_number": "310-463-8595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASHAR",
"first_name": "NATASHA",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2008-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "55608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.