Active NPI
Yael Breziner, DDS
- Periodontics
- La Jolla, CA
National Provider Identifier
1700513785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 111042
- Practice address
- 7817 Ivanhoe Ave Ste 305
La Jolla, CA 92037-4542 - Phone
- (858) 454-3044
- NPI assigned
- Aug 1, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 111042 | CA | Primary |
Addresses
Primary practice location
7817 Ivanhoe Ave Ste 305
La Jolla, CA 92037-4542
Mailing address
12610 Stella LN
San Diego, CA 92129-4635
Phone (858) 926-6766
Other practice location 1
6225 Lusk Blvd
San Diego, CA 92121-2796
Phone (858) 755-9810
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1700513785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12610 STELLA LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921294635",
"telephone_number": "858-926-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7817 IVANHOE AVE STE 305",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374542",
"telephone_number": "858-454-3044"
}
],
"practiceLocations": [
{
"address_1": "6225 Lusk Blvd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921212796",
"country_code": "US",
"telephone_number": "858-755-9810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREZINER",
"first_name": "YAEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-01",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "111042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.