Yo Imai-Marshall, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

55123 Issued in CA

Practice address

3855 Avocado Blvd
Suite 200
La Mesa, CA 91941-7382

Phone

(619) 670-4018

NPI assigned

Feb 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

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.

• Yo Imai-Marshall, D.D.S., M.S.D., Inc.

  • Dental Clinic/Center
  • La Mesa, CA
  • NPI 1205248226
  NPD (past) Authorized official

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400976000000",
    "number": "1043354459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 SHEEP RANCH LOOP",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131659",
            "telephone_number": "619-512-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 AVOCADO BLVD",
            "address_2": "SUITE 200",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417382",
            "telephone_number": "619-670-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAI-MARSHALL",
        "first_name": "YO",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2014-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "55123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Hyland
• Ayan Ibrahim
• Ijt9112 and Associates LLC
• Christina Imada, MA, LPCC
• Image Dental Group
• Paul Michael Imus, MD
• Inadvance Medicine Associates West, P.C.
• Independent Diagnostic Testing Inc
• Industrial Care Specialist
• Inhome Angels

• Orthodontics and Dentofacial Orthopedics Dentistry in La Mesa, CA
• Providers in La Mesa, 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 May 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.