Active NPI
Yasaman Sardari, DDS
- Dentist
- San Diego, CA
National Provider Identifier
1851975734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105712
- Practice address
- 2333 Camino del Rio S Ste 40
San Diego, CA 92108-3607 - Phone
- (619) 574-1810
- Fax
- (619) 574-1326
- NPI assigned
- May 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 105712 | CA | Primary |
Addresses
Primary practice location
2333 Camino del Rio S Ste 40
San Diego, CA 92108-3607
Mailing address
6154 Calle Camposeco
#3908
Rancho Santa Fe, CA 92067
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 |
|---|---|---|---|
| 105712 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yasaman Sardari DDS PC | Current | 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.
-
- General Practice Dentistry
- San Diego, CA
- NPI 1801650551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1851975734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6154 CALLE CAMPOSECO",
"address_2": "#3908",
"city": "RANCHO SANTA FE",
"state": "CA",
"postal_code": "92067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 CAMINO DEL RIO S STE 40",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083607",
"telephone_number": "619-574-1810",
"fax_number": "619-574-1326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARDARI",
"first_name": "YASAMAN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-07",
"last_updated": "2024-02-13",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.