Individual provider Active NPI

Angela Yun-Yuan Hsu, D.D.S

  • General Practice Dentistry
  • Los Gatos, CA
National Provider Identifier
1023460474
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
100366 Issued in CA
Practice address
16400 Lark Ave Ste 230
Los Gatos, CA 95032-2563
Phone
(408) 356-5300
Fax
(408) 356-9030
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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 100366 CA Primary

Addresses

Primary practice location

16400 Lark Ave Ste 230
Los Gatos, CA 95032-2563

Mailing address

16400 Lark Ave Ste 230
Los Gatos, CA 95032-2563
Phone (408) 356-5300

Other practice location 1

4861 Alex Dr
San Jose, CA 95130-2012
Phone (310) 893-4617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100366CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Y Hsu DDS PHD Inc CurrentSince Jan 1, 2021 Accepting new patients

Locations

16400 Lark Ave
Ste 230
Los Gatos, CA 95032
Phone (408) 356-5300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1023460474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 LARK AVE STE 230",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322563",
            "telephone_number": "408-356-5300",
            "fax_number": "408-356-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 LARK AVE STE 230",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322563",
            "telephone_number": "408-356-5300",
            "fax_number": "408-356-9030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4861 Alex Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951302012",
            "country_code": "US",
            "telephone_number": "310-893-4617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HSU",
        "first_name": "ANGELA",
        "middle_name": "YUN-YUAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.