Active NPI
Lotfali Yari, DDS INC
- Dentist
- Escondido, CA
National Provider Identifier
1831392059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40762
- Practice address
- 230 East 5TH Avenue
Escondido, CA 92025 - Phone
- (760) 738-9595
- Fax
- (760) 738-9596
- NPI assigned
- Jun 6, 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 | 40762 | CA | Primary |
Addresses
Primary practice location
230 East 5TH Avenue
Escondido, CA 92025
Mailing address
230 East 5TH Avenue
Escondido, CA 92025
Phone (760) 738-9595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B4076201 | Other | CA | MEDICAL |
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 |
|---|---|---|---|
| 40762 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irene Bodjanac Bozir, D.D.S., Inc. | Past | Accepting new patients | |
| Lotfali Yari 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.
-
- Dentist
- Escondido, CA
- NPI 1689970907
-
- General Practice Dentistry
- Escondido, CA
- NPI 1104262658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831392059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 EAST 5TH AVENUE",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "92025",
"telephone_number": "760-738-9595",
"fax_number": "760-738-9596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 EAST 5TH AVENUE",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "92025",
"telephone_number": "760-738-9595",
"fax_number": "760-738-9596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARI",
"first_name": "LOTFALI",
"credential": "DDS INC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "B4076201",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, 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.