M Yavari DDS PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

M YAVARI DDS PC

Practice address

909 Euclid Ave
National City, CA 91950-3855

Phone

(619) 552-3200

NPI assigned

Mar 27, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mansoureh Yavari, DDS

Title

Tin Owner

Phone

(619) 552-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• M Yavari DDS PC Former legal business name

Locations

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1851929707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 EUCLID AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503855",
            "telephone_number": "619-552-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 EUCLID AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503855",
            "telephone_number": "619-552-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M YAVARI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "YAVARI",
        "authorized_official_first_name": "MANSOUREH",
        "authorized_official_title_or_position": "TIN OWNER",
        "authorized_official_telephone_number": "619-552-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "56898",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M Yavari DDS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dentist in National City, CA
• Providers in National City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.