Individual provider Active NPI

Patrick Tadashi Yoshikane, DDS

  • General Practice Dentistry
  • Orange, CA
National Provider Identifier
1013094200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37960 Issued in CA
Practice address
845 W la Veta Ave Ste 103
Orange, CA 92868-3930
Phone
(714) 516-1600
Fax
(714) 516-1592
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37960 CA Primary

Addresses

Primary practice location

845 W la Veta Ave Ste 103
Orange, CA 92868-3930

Mailing address

845 W la Veta Ave Ste 103
Orange, CA 92868-3930
Phone (714) 516-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160705002196 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0042502452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37960CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013094200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 W LA VETA AVE STE 103",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683930",
            "telephone_number": "714-516-1600",
            "fax_number": "714-516-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W LA VETA AVE STE 103",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683930",
            "telephone_number": "714-516-1600",
            "fax_number": "714-516-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHIKANE",
        "first_name": "PATRICK",
        "middle_name": "TADASHI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.