Active NPI
Yuko Christine Nakamura, D.M.D., M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Lafayette, CA
National Provider Identifier
1063665180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- A110357
- Practice address
- 895 Moraga Rd
Suite 7
Lafayette, CA 94549-5094 - Phone
- (925) 283-1212
- Fax
- (925) 283-1217
- NPI assigned
- Nov 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | OMS 90 | CA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | A110357 | CA | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 055245 | NY |
Addresses
Primary practice location
895 Moraga Rd
Suite 7
Lafayette, CA 94549-5094
Mailing address
895 Moraga Rd
Suite 7
Lafayette, CA 94549-5094
Phone (925) 283-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 19, 2018 through Nov 19, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110357 | CA | MD | Social Worker |
| A110357 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| OMS 90 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 055245 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
| 90 | CA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ali Alijanian DDS PC | Past | Accepting new patients | |
| John J Dann III MD DMD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Walnut Creek, CA
- NPI 1326482944
-
- Specialist
- Lafayette, CA
- NPI 1952583411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1063665180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 MORAGA RD",
"address_2": "SUITE 7",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945495094",
"telephone_number": "925-283-1212",
"fax_number": "925-283-1217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 MORAGA RD",
"address_2": "SUITE 7",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945495094",
"telephone_number": "925-283-1212",
"fax_number": "925-283-1217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAMURA",
"first_name": "YUKO",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "D.M.D., M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "OMS 90",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "A110357",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "055245",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.