Joseph Yang, MD, DMD, MBE
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · San Francisco, CA
NPI 1003254137 · NPPES record last updated Jun 24, 2019
Key facts
- NPI
- 1003254137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 62188 (CA)
- Practice address
- 99 W Portal Ave
San Francisco, CA 94127-1303 - Phone
- (415) 661-6006
- NPI assigned
- Jun 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180619001748 | CA | Practitioner - Maxillofacial Surgery | 6002161874 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Current |
Accepting new patients | |
| County of San Mateo | Current |
Accepting new patients | |
| County of San Mateo | Current |
Accepting new patients | |
| Andrew Ferrier, DDS, Corp | Past | Accepting new patients | |
| 7X7 Dental Implant & Oral Surgery Specialists | Past |
Accepting new patients |
Locations
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 62188 | CA | Yes |
Addresses
Primary practice location
99 W Portal Ave
San Francisco, CA 94127-1303
Mailing address
99 W Portal Ave
San Francisco, CA 94127-1303
Phone (425) 269-1999
Other providers in San Francisco, CA
- Jennifer Y C Yang
- Jessica O Yang
- Jie Yang
- Jon Luen Yang
- Joo-Sock Yang
- Julie Yang
- Katharine Yang
- Katherine Y Yang
- Kristine Pamela Lim Yang
- Mabel Yang
All providers in San Francisco, CA · Oral and Maxillofacial Surgery (Dentist) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.