Active NPI
Sohrab Yazdani, DDS
- Dentist
- Yorba Linda, CA
National Provider Identifier
1811023104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 44282
- Practice address
- 20429 Yorba Linda Blvd
Yorba Linda, CA 92886-3042 - Phone
- (714) 695-9530
- Fax
- (174) 695-9521
- NPI assigned
- Feb 23, 2007
- 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 | 44282 | CA | Primary |
Addresses
Primary practice location
20429 Yorba Linda Blvd
Yorba Linda, CA 92886-3042
Mailing address
20429 Yorba Linda Blvd
Yorba Linda, CA 92886-3042
Phone (714) 695-9530
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 |
|---|---|---|---|
| 44282 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sital Shah DDS, PC | Past | Accepting new patients | |
| Yazdani & Nadir DDS Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Yorba Linda, CA
- NPI 1487463196
-
- Dentist
- Yorba Linda, CA
- NPI 1144611211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811023104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20429 YORBA LINDA BLVD",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928863042",
"telephone_number": "714-695-9530",
"fax_number": "174-695-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20429 YORBA LINDA BLVD",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928863042",
"telephone_number": "714-695-9530",
"fax_number": "174-695-9521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAZDANI",
"first_name": "SOHRAB",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "44282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorba Linda, CA
Sources for this page
- 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.