Benjamin Yagoubian, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

OMS105 Issued in CA

Practice address

23451 Madison St Ste 120
Torrance, CA 90505-4736

Phone

(310) 373-0667

Fax

(310) 373-0669

NPI assigned

Jul 31, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 20, 2016 through Jun 20, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Benjamin Yagoubian DDS, MD a PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Torrance, CA
  • NPI 1154878544
  NPD (past) Authorized official

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1891926341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 120",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054736",
            "telephone_number": "310-373-0667",
            "fax_number": "310-373-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 120",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054736",
            "telephone_number": "310-373-0667",
            "fax_number": "310-373-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGOUBIAN",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-31",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "OMS105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Tadao Yabuno, DDS
• Steve Yabuno, DDS
• Richard T. Yabuta, PHARM.D.
• Kabir Yadav, MDCM, MS, MSHS
• Angeli Perfecto Yagasaki, D.D.S
• Yajima Chiropractic & Wellness Inc.
• Parviz Yalzadeh, M.D.
• Jason Yamada, DDS, MS
• Kenneth Toru Yamada, O.D.
• Eri Yamaguchi

• Oral and Maxillofacial Surgery (Dentist) in Torrance, CA
• Providers in Torrance, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.