Fary Yassamy, DDS, Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

47586 Issued in CA

Legal business name

FARY YASSAMY, DDS, INC

Practice address

825 Huntington Dr
San Marino, CA 91108-1824

Phone

(626) 441-2231

Fax

(626) 441-3024

NPI assigned

Nov 30, 2009

Last updated

Nov 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie Moran

Title

Office Manager

Phone

(626) 441-2231

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry E Goodreau, DDS

  • Dentist
  • San Marino, CA
  • NPI 1104024975
  NPD (past)
• Farzaneh S. Yassamy

  • Dentist
  • San Marino, CA
  • NPI 1942327291
  NPD (past)

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1821326901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 HUNTINGTON DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081824",
            "telephone_number": "626-441-2231",
            "fax_number": "626-441-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 HUNTINGTON DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081824",
            "telephone_number": "626-441-2231",
            "fax_number": "626-441-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARY YASSAMY, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-441-2231"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "47586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Esquivel, MFT
• Ronald Philip Estrada, D.D.S.
• Camille J Fagenson, L.C.S.W.
• Vivian Fan
• Chien Fang, MD
• Fit Home Health Inc
• Alfonso Fonzie Flores, MS, ATC, LAT
• Fluid Laboratories
• Formal Home Health Inc
• Formal Hospice Inc

• Preferred Provider Organization in San Marino, CA
• Providers in San Marino, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.