Individual provider Active NPI

Yashar Eslami, DDS

  • Endodontics
  • Cupertino, CA
National Provider Identifier
1851684153
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
64490 Issued in CA
Practice address
10311 S de Anza Blvd Ste 6
Cupertino, CA 95014-3028
Phone
(408) 807-1258
Fax
(844) 316-4400
NPI assigned
May 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 64490 CA Primary

Addresses

Primary practice location

10311 S de Anza Blvd Ste 6
Cupertino, CA 95014-3028

Mailing address

10311 S de Anza Blvd Ste 6
Cupertino, CA 95014-3028
Phone (408) 807-1258

Other practice location 1

7532 Brooklyn Blvd
Brooklyn Park, MN 55443-3101
Phone (763) 560-1555

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

LicenseStateTypeSpecialty
64490CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lavasani & Eslami Dental Group Inc Endodontics PastSince Nov 10, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1851684153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10311 S DE ANZA BLVD STE 6",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143028",
            "telephone_number": "408-807-1258",
            "fax_number": "844-316-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10311 S DE ANZA BLVD STE 6",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143028",
            "telephone_number": "408-807-1258",
            "fax_number": "844-316-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7532 Brooklyn Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554433101",
            "country_code": "US",
            "telephone_number": "763-560-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESLAMI",
        "first_name": "YASHAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "64490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.