Individual provider Active NPI

Anoush Yessaian, DDS

  • General Practice Dentistry
  • Reseda, CA
National Provider Identifier
1699817916
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55245 Issued in CA
Practice address
18905 Sherman Way
Reseda, CA 91335-2600
Phone
(818) 345-3353
Fax
(818) 345-0176
NPI assigned
Feb 13, 2007
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55245 CA Primary

Addresses

Primary practice location

18905 Sherman Way
Reseda, CA 91335-2600

Mailing address

18905 Sherman Way
Reseda, CA 91335-2600
Phone (818) 256-5488

Other names 1

  • Dr. Anoush A Setrak Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404002405 CA Order and Referring Only - DentistPractitioner - Dentist 4486951514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55245CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anoush Yessaian DDS ,Inc General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1699817916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18905 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352600",
            "telephone_number": "818-256-5488",
            "fax_number": "818-345-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18905 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352600",
            "telephone_number": "818-345-3353",
            "fax_number": "818-345-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YESSAIAN",
        "first_name": "ANOUSH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANOUSH",
            "last_name": "SETRAK",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.