Individual provider Active NPI

Yessica Maria Coosemans Novales, DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1992680144
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
112206 Issued in CA
Practice address
1423 E Gage Ave Ste a
Los Angeles, CA 90001-1771
Phone
(323) 983-4000
NPI assigned
Aug 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 112206 CA Primary

Addresses

Primary practice location

1423 E Gage Ave Ste a
Los Angeles, CA 90001-1771

Mailing address

19721 Alyssa Dr
Santa Clarita, CA 91321-2144
Phone (661) 644-9238

Other practice location 1

1725 W 6th St
Los Angeles, CA 90017-1000
Phone (213) 413-5151

Other names 1

  • Yessica Maria Coosemans Rueda Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Sein Chein Lee Dental Corporation PastSince Aug 10, 2025 Accepting new patients
Cohen Sedgh, Manavi & Pakravan Dental Corporation Dentist PastSince Aug 10, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1992680144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19721 ALYSSA DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212144",
            "telephone_number": "661-644-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 E GAGE AVE STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900011771",
            "telephone_number": "323-983-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171000",
            "country_code": "US",
            "telephone_number": "213-413-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOSEMANS NOVALES",
        "first_name": "YESSICA",
        "middle_name": "MARIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "112206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YESSICA",
            "last_name": "COOSEMANS RUEDA",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.