Individual provider Active NPI

Yulia Negom, D.D.S.

  • General Practice Dentistry
  • Lancaster, CA
National Provider Identifier
1073783049
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46115 Issued in CA
Practice address
44725 10TH St W Ste 160
Lancaster, CA 93534-3000
Phone
(661) 951-0309
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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 46115 CA Primary

Addresses

Primary practice location

44725 10TH St W Ste 160
Lancaster, CA 93534-3000

Mailing address

44725 10TH St W Ste 160
Lancaster, CA 93534-3000
Phone (661) 951-0309

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161111001992 CA Order and Referring Only - DentistPractitioner - Dentist 4789963869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1073783049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44725 10TH ST W STE 160",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343000",
            "telephone_number": "661-951-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44725 10TH ST W STE 160",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343000",
            "telephone_number": "661-951-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGOM",
        "first_name": "YULIA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.