Yesenia R Estremodoyro, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59062 Issued in CA

Practice address

11380 Laurel Canyon Blvd
San Fernando, CA 91340-4317

Phone

(822) 581-2870

NPI assigned

Dec 30, 2009

Last updated

Dec 30, 2009By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1063742872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 LAUREL CANYON BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404317",
            "telephone_number": "822-581-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 LAUREL CANYON BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404317",
            "telephone_number": "822-581-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTREMODOYRO",
        "first_name": "YESENIA",
        "middle_name": "R",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen N Espinoza, AUD
• Daniel Jay Estiva
• Fernando D Estrada Ortiz
• Mia Estrada
• Yoly Malanyaon Estrada, DDS
• Exclusive Diagnostic Services
• Express Home Health Inc
• Nicole Fakhimi
• Juan Pablo Falabella, D.D.S.
• Joud Fansa

• General Practice Dentistry in San Fernando, CA
• Providers in San Fernando, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.