Yara M Abdulla, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

27880 Issued in TX

Practice address

26392 Keller Dr
Loma Linda, CA 92354-6567

Phone

(734) 678-2558

NPI assigned

Jul 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1699021998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26392 KELLER DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546567",
            "telephone_number": "734-678-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26392 KELLER DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546567",
            "telephone_number": "734-678-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLA",
        "first_name": "YARA",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nour Abdel-Azim, MD
• Marian Abdelmalek, DO
• Mohammed Khalid Ali Abdelrahim, MD
• Amir Abdi Pour, MD
• Unknown Abdul Hameed Zaid, M.B,B.S
• Mostafa Walid Abdulrahim, MD
• Faiz Abdur-Rahman, MD
• Mardon Romulo Abesamis
• Ability Pathways Inc
• Carine Abinader

• All providers in Loma Linda, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.

Verify at the official NPI Registry.