Jasmin Vahedi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60028 Issued in CA

Practice address

20218 Piedra Chica Rd
Malibu, CA 90265-5328

Phone

(310) 989-9592

NPI assigned

Mar 13, 2013

Sex

Female

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1902147192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20218 PIEDRA CHICA RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655328",
            "telephone_number": "310-989-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20218 PIEDRA CHICA RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655328",
            "telephone_number": "310-989-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHEDI",
        "first_name": "JASMIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Traughber
• Nancy Lin Tsoi, MD
• Robyn W Turner, AMFT
• Vincent A Turner
• UC Regents UCLA DMPG Malibu
• Joseph Edward Valdez II, DC
• Narcis Valen, PHD, LCP
• Hortencia Valencia, CMT
• Jared Valentine
• Van Masteranna Billing Service, Inc

• General Practice Dentistry in Malibu, CA
• Providers in Malibu, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.