Timothy Yu, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

104605 Issued in CA

Practice address

30200 Agoura Rd Ste 220
Agoura Hills, CA 91301-5436

Phone

(805) 374-9377

NPI assigned

Nov 2, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• CF Rodgers DDS Inc

  • General Practice Dentistry
  • Corona, CA
  • NPI 1154413912
  NPD (past)
• Charles F Rodgers Dental Corporation

  • General Practice Dentistry
  • Corona, CA
  • NPI 1245322007

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1003417627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 E VISTA RIDGE DR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928671724",
            "telephone_number": "714-296-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 220",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015436",
            "telephone_number": "805-374-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "104605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Home",
            "affiliation": "N",
            "address_1": "2722 E Vista Ridge Dr",
            "city": "Orange",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928671724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Home",
            "affiliation": "N",
            "address_1": "2722 E Vista Ridge Dr",
            "city": "Orange",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928671724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Home",
            "affiliation": "N",
            "address_1": "2722 E Vista Ridge Dr",
            "city": "Orange",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928671724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grace Yamane, PHARM.D
• Esther Chen Yang, PHARM.D.
• Alison Yedor, MA
• Amy Yoffe, LCSW
• Yofi Medical Spa Inc
• Sun Young Yun
• Zak Dental Corp
• Melissa Zartar, LMFT
• Zeolla Physical Therapy Inc
• Michele Alden Zeolla, PHYSICAL THERAPIST

• Orthodontics and Dentofacial Orthopedics Dentistry in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.