Organization Active NPI

Yazdan Alami DDS a Professional Dental Corporation

  • Pediatric Dentistry
  • Simi Valley, CA
National Provider Identifier
1982834578
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
49445 Issued in CA
Legal business name
YAZDAN ALAMI DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
1188 Roadrunner Wy
Simi Valley, CA 93065
Phone
(805) 526-1188
NPI assigned
Jul 17, 2009
Last updated
Mar 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Dr. Yazdan Alami, D.D.S.
Title
President
Phone
(805) 526-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 49445 CA Primary

Addresses

Primary practice location

1188 Roadrunner Wy
Simi Valley, CA 93065

Mailing address

1188 Roadrunner Wy
Simi Valley, CA 93065
Phone (805) 526-1188

National Provider Directory

National Provider Directory

Locations

1188 Roadrunner Way
Simi Valley, CA 93065
Phone (805) 526-1188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1982834578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 ROADRUNNER WY",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-526-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 ROADRUNNER WY",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-526-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAZDAN ALAMI DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "ALAMI",
        "authorized_official_first_name": "YAZDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-526-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "49445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.