Victor Y Yaghoubi-Mirzayan, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

43576 Issued in CA

Practice address

6177 N Thesta St
Suite 102
Fresno, CA 93710-8600

Phone

(559) 447-5050

Fax

(559) 447-5057

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Center for Endodontics Inc.

  • Endodontics
  • Fresno, CA
  • NPI 1417401308
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740403930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6177 N THESTA ST",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108600",
            "telephone_number": "559-447-5050",
            "fax_number": "559-447-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6177 N THESTA ST",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108600",
            "telephone_number": "559-447-5050",
            "fax_number": "559-447-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGHOUBI-MIRZAYAN",
        "first_name": "VICTOR",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "43576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xuewen S. Cui DDS Inc.
• Clinton Matthew Yada, OTR/L
• Julie Ann P. Yadav
• Zenret Yadok, CRNA
• Yadvinder Bhullar DDS Inc
• Jennifer Leigh Yahnian, RN
• Lon Looj Yaj, D.C.
• Parishad Yakhchalian, MD
• Pegah Yakhchalian, MD
• Jared Eric Yalung, MD

• Endodontics in Fresno, CA
• Providers in Fresno, CA by specialty
• Endodontics 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.