Yarah Beddawi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

53967 Issued in CA

Practice address

3400 Sonoma Blvd
Vallejo, CA 94590-2972

Phone

(707) 554-4000

Fax

(707) 554-6146

NPI assigned

Feb 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 12, 2016 through Apr 12, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Beddawi, DDS

  • Endodontics
  • Mountain View, CA
  • NPI 1861143497
  NPD Authorized official
• Cherag Dinshaw Sarkari DDS a Dental Corporation

  dba Access Dental Centers

  • General Practice Dentistry
  • Vallejo, CA
  • NPI 1437213170
  NPD (past)
• Western Dental Services, Inc.

  • Dentist
  • Vallejo, CA
  • NPI 1033683602
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740325679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SONOMA BLVD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902972",
            "telephone_number": "707-554-4000",
            "fax_number": "707-554-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SONOMA BLVD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902972",
            "telephone_number": "707-554-4000",
            "fax_number": "707-554-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDDAWI",
        "first_name": "YARAH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reynaldo B. Bayubay, MD
• Mary Susan Beal, LCSW
• Shontell Beasley
• Marylou Beban, M.S.W.
• Tara Theresa Beckman, LCSW
• Erin Alison Beeman, CMT, CST
• Mayara Podavini Beers
• Behavioral Solutions
• Kasra Jalal Behizad, MD
• Sophia Bekele

• Dentist in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.