Active NPI
Nina Yu
- General Practice Dentistry
- Huntington Beach, CA
National Provider Identifier
1063873685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47682
- Practice address
- 6552 Bolsa Ave Ste J
Huntington Beach, CA 92647-2656 - Phone
- (714) 893-2106
- Fax
- (714) 893-2759
- NPI assigned
- Mar 9, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47682 | CA | Primary |
Addresses
Primary practice location
6552 Bolsa Ave Ste J
Huntington Beach, CA 92647-2656
Mailing address
6552 Bolsa Ave Ste J
Huntington Beach, CA 92647-2656
Phone (714) 893-2106
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
| License | State | Type | Specialty |
|---|---|---|---|
| 47682 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1063873685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6552 BOLSA AVE STE J",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926472656",
"telephone_number": "714-893-2106",
"fax_number": "714-893-2759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6552 BOLSA AVE STE J",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926472656",
"telephone_number": "714-893-2106",
"fax_number": "714-893-2759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "NINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-09",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "47682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.