Sarmad R Yaqouna, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

109196 Issued in CA

Practice address

8812 Whittier Blvd
Pico Rivera, CA 90660-2658

Phone

(619) 277-5437

NPI assigned

Aug 25, 2023

Last updated

Aug 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sarmad R. Yakootah Former name

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

State licenses

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1720863137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14360 RIOS CANYON RD SPC 1",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920212728",
            "telephone_number": "619-277-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8812 WHITTIER BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602658",
            "telephone_number": "619-277-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAQOUNA",
        "first_name": "SARMAD",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARMAD",
            "last_name": "YAKOOTAH",
            "middle_name": "R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Randi Renee Wiley, LVN
• Winston Muditajaya Dental Corporation
• Daniel K. Woo, M.D.
• Ming Hua Wu, OMD
• Sandra Ann Yanez, CATC
• Byung-Don David Yoon, PHARM.D.
• Yu Ping Liu, DDS, a Professional Dental Corporation
• Iris Yu, DDS
• Zachary Yu
• Miguel Zamora, RDHAP

• Dentist in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.