Yasaman Javdan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109993 Issued in CA

Practice address

7655 Marker Rd
San Diego, CA 92130-5616

Phone

(929) 421-5914

NPI assigned

Jun 7, 2022

Sex

Female

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

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1740919596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 MARKER RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921305616",
            "telephone_number": "929-421-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 MARKER RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921305616",
            "telephone_number": "929-421-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVDAN",
        "first_name": "YASAMAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lynn Jaurequi
• Rommel Sotelo Java
• Kianoush Javaheri, M.D.
• Lily Tuba Javaherpour
• Nazafarin Javdan, D.D.S.
• Khurram Javed
• Kinaan Faridun Javed, DO
• Javidan Dentistry
• Mitra Javidan Mazdyasni, DMD
• Patrick Javidan, D.C.

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.