Organization Active NPI

Yasi Mahboub DDS a Professional Dental Corporation

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1841125614
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
YASI MAHBOUB DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
9855 Erma Rd Ste 103
San Diego, CA 92131-1007
Phone
(858) 578-0120
NPI assigned
Jun 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Yasi Mahboub, DDSNPI 1447878574
Title
Owner Dentist
Phone
(858) 578-0120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9855 Erma Rd Ste 103
San Diego, CA 92131-1007

Mailing address

9855 Erma Rd Ste 103
San Diego, CA 92131-1007
Phone (858) 578-0120

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1841125614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9855 ERMA RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311007",
            "telephone_number": "858-578-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 ERMA RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311007",
            "telephone_number": "858-578-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASI MAHBOUB DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "MAHBOUB",
        "authorized_official_first_name": "YASI",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "858-578-0120",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.