Organization Active NPI

Ali Modarres, D.D.S.,Apc

  • Public Health Dentistry
  • Yorba Linda, CA
National Provider Identifier
1659850642
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
39186 Issued in CA
Legal business name
ALI MODARRES, D.D.S.,APC
Practice address
24835 La Palma Ave Ste F
Yorba Linda, CA 92887-5532
Phone
(714) 692-1767
Fax
(714) 692-1931
NPI assigned
Aug 9, 2018
Last updated
Aug 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Dr. Ali Modarres, DDSNPI 1336260355
Title
Dentist
Phone
(714) 692-1767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 39186 CA Primary

Addresses

Primary practice location

24835 La Palma Ave Ste F
Yorba Linda, CA 92887-5532

Mailing address

24835 La Palma Ave Ste F
Yorba Linda, CA 92887-5532
Phone (714) 692-1767

National Provider Directory

National Provider Directory

Locations

24835 La Palma Ave
Ste F
Yorba Linda, CA 92887
Phone (714) 692-1767

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1659850642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24835 LA PALMA AVE STE F",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928875532",
            "telephone_number": "714-692-1767",
            "fax_number": "714-692-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24835 LA PALMA AVE STE F",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928875532",
            "telephone_number": "714-692-1767",
            "fax_number": "714-692-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI MODARRES, D.D.S.,APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "MODARRES",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-692-1767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "39186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.