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DR. YASAMIN MEHRAZAR DMD
NPI 1104715176
Dentist - General Practice in Modesto, CA

Active since July 02, 2025PECOS Enrolled
1008 6TH ST, MODESTO, CA 95354(209) 573-8880(209) 573-8881 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Yasamin Mehrazar Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. YASAMIN MEHRAZAR DMD (NPI 1104715176) is an individual general practice provider in Modesto, California, licensed in California (111848) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Midwestern University College Of Dental Medicine, Downers Grove (2025).

NPPES Registry Identity

NPI1104715176
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. YASAMIN MEHRAZARCredential: DMD
Location Address1008 6TH STModesto, CA 95354-2209
Mailing Address1405 Villette CtModesto, CA 95356-8904 · (209) 606-2552
Phone(209) 573-8880
Fax(209) 573-8881
Sole ProprietorNo
Medical School CMSMidwestern University College Of Dental Medicine, Downers GroveGraduated 2025
Enumeration DateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1104715176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 111848
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1008 6TH ST, Modesto, CA 95354
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Yasamin Mehrazar Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284136854
PECOS Enrollment IDI20250904001937
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOLDEN VALLEY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
1008 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 722-4842
AMI GAMI DDS
Dentist
1008 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 722-4842

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yasamin Mehrazar's NPI number?

The NPI number for Yasamin Mehrazar is 1104715176. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Where is Yasamin Mehrazar located?

Yasamin Mehrazar practices at 1008 6th St, Modesto, CA 95354. The listed phone number is (209) 573-8880.

What is Yasamin Mehrazar's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Yasamin Mehrazar enrolled in Medicare?

Yes. Yasamin Mehrazar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yasamin Mehrazar was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.