Individual provider Active NPI

Aline Yaghsezian, DDS

  • Periodontics
  • Laguna Hills, CA
National Provider Identifier
1780359828
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DDS103214 Issued in CA
Practice address
25261 Paseo de Valencia
Laguna Hills, CA 92637-4966
Phone
(949) 581-6641
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DDS103214 CA Primary

Addresses

Primary practice location

25261 Paseo de Valencia
Laguna Hills, CA 92637-4966

Mailing address

22632 Ocean Way
Laguna Niguel, CA 92677-5436
Phone (949) 338-7363

Other practice location 1

4281 Katella Ave Ste 112
Los Alamitos, CA 90720-3502
Phone (714) 484-8700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210907002739 CA Order and Referring Only - DentistPractitioner - Dentist 8022414614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS103214CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey J. McCullough DMD, Ms, Inc. Periodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1780359828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22632 OCEAN WAY",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775436",
            "telephone_number": "949-338-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25261 PASEO DE VALENCIA",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926374966",
            "telephone_number": "949-581-6641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4281 Katella Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907203502",
            "country_code": "US",
            "telephone_number": "714-484-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAGHSEZIAN",
        "first_name": "ALINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "DDS103214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.