Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Yasamin Mehrazar, DMD

Individual provider General Practice Dentistry · NPI 1104715176

Dr. Yasamin Mehrazar, DMD is a Dentist in Modesto, California. Graduated from Midwestern University College of Dental Medicine, Downers Grove in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Trained at
Midwestern University College of Dental Medicine, Downers Grove
Licensed in
CA
In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1008 6th St
Modesto, CA 95354-2209
Phone: (209) 573-8880
Fax: (209) 573-8881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 111848 (CA)

Record details

NPI number1104715176
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 2, 2025
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolMIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, DOWNERS GROVE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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