Active NPI
Yehonatan Mizrahi, DDS
- Dentist
- Encino, CA
National Provider Identifier
1699320671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 104179
- Practice address
- 16260 Ventura Blvd Ste 404
Encino, CA 91436-2238 - Phone
- (818) 986-7411
- NPI assigned
- Aug 6, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 104179 | CA | Primary |
Addresses
Primary practice location
16260 Ventura Blvd Ste 404
Encino, CA 91436-2238
Mailing address
4400 Coronet Dr
Encino, CA 91316-4325
Phone (310) 595-5584
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104179 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1699320671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 CORONET DR",
"city": "ENCINO",
"state": "CA",
"postal_code": "913164325",
"telephone_number": "310-595-5584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16260 VENTURA BLVD STE 404",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362238",
"telephone_number": "818-986-7411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZRAHI",
"first_name": "YEHONATAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-06",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "104179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.