Active NPI
Fereydoun Michael Yebri, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1780621144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- B35570
- Practice address
- 2527 W Pico Blvd
Los Angeles, CA 90006 - Phone
- (213) 380-2426
- Fax
- (213) 380-2931
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | B35570 | CA | Primary |
Addresses
Primary practice location
2527 W Pico Blvd
Los Angeles, CA 90006
Mailing address
601 N Hillcrest Rd
#1
Beverly Hills, CA 90210
Phone (310) 428-4053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B3557002 | Medicaid | CA |
Other names 1
- Dr. Michael F Yebri
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B35570 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442880000000",
"number": "1780621144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N HILLCREST RD",
"address_2": "#1",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90210",
"telephone_number": "310-428-4053",
"fax_number": "310-276-8667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2527 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90006",
"telephone_number": "213-380-2426",
"fax_number": "213-380-2931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEBRI",
"first_name": "FEREYDOUN",
"middle_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2015-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "B35570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B3557002",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "YEBRI",
"middle_name": "F",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.