Individual provider Active NPI

Mahdokht Yousefian, DDS

  • General Practice Dentistry
  • Woodland Hills, CA
National Provider Identifier
1992002539
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48067 Issued in CA
Practice address
6543 Topanga Canyon Blvd
Woodland Hills, CA 91303-2622
Phone
(818) 883-7979
NPI assigned
Feb 17, 2011
Last updated
Feb 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 48067 CA
General Practice Dentistry 1223G0001X 48067 CA Primary

Addresses

Primary practice location

6543 Topanga Canyon Blvd
Woodland Hills, CA 91303-2622

Mailing address

6543 Topanga Canyon Blvd
Woodland Hills, CA 91303-2622
Phone (818) 883-7979

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250516000898 CA Practitioner - Dentist 6103340823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Dr Srujal H Shah DDS IncGroup PAC ID 4486840634, 3 clinicians

Practice addresses (Care Compare)

6120 Hellyer Ave
Suite 125
San Jose, CA 95138-1066
Phone (408) 490-0182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48067CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Srujal H Shah DDS Inc CurrentSince Feb 10, 2025 Accepting new patients
Dr Srujal H Shah DDS Inc Dentist CurrentSince Feb 10, 2025 Accepting new patients
Mahdokht Yousefian DDS Inc. Dentist Current Accepting new patients
Elliot P. Schlang DDS Inc. Dentist Past Accepting new patients
Bershadsky Dental Corporation PastSince Apr 25, 2019 Accepting new patients

Locations

825 Pollard Rd
Ste 100
Los Gatos, CA 95032
Phone (408) 356-0444

101 Wilson Rd
Ste D
Monterey, CA 93940
Phone (844) 387-5337

1081 Market Pl
Ste 100
San Ramon, CA 94583
Phone (925) 275-9350

4340 Scotts Valley Dr
Ste H
Scotts Valley, CA 95066

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1992002539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6543 TOPANGA CANYON BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913032622",
            "telephone_number": "818-883-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6543 TOPANGA CANYON BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913032622",
            "telephone_number": "818-883-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEFIAN",
        "first_name": "MAHDOKHT",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48067",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.