DR. MARK SHAHRAM YAFAI DDS, MD
NPI 1215066329
Oral & Maxillofacial Surgery in Encino, CA

Q: What is the provider's specialty?

The provider's specialty is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Active since March 05, 2007PECOS Enrolled

16661 VENTURA BLVD, SUITE # 215, ENCINO, CA 91436(310) 892-1969 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Mark Shahram Yafai Dds, Md NPPES

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

DR. MARK SHAHRAM YAFAI DDS, MD (NPI 1215066329) is an individual oral & maxillofacial surgery provider in Encino, California, licensed in California (50117) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215066329

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. MARK SHAHRAM YAFAICredential: DDS, MD

Location Address16661 VENTURA BLVD, SUITE # 215Encino, CA 91436-1914

Mailing Address16661 Ventura Blvd, Suite # 215Encino, CA 91436-1914 · (310) 892-1969

Phone(310) 892-1969

Sole ProprietorYes

Enumeration DateMarch 5, 2007

Last NPPES UpdateJanuary 18, 2011

✔ NPI 1215066329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Licenses✔ Licensed in CA · 50117✔ Licensed in CA · A104572

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 50117 (CA)

16661 VENTURA BLVD, Encino, CA 91436

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Mark Shahram Yafai Dds, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 17, 2022 through May 17, 2026.

Opt-Out Effective DateMay 17, 2022

Opt-Out In Effect ThroughMay 17, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.