Jeffrey Yasunori Yamashiro, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

037046 Issued in CA

Practice address

1605 W Redondo Beach Blvd
Suite #203
Gardena, CA 90247-3227

Phone

(310) 329-1312

Fax

(310) 329-1074

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jeffrey Y Yamashiro DDS., Inc.

  • Dentist
  • Gardena, CA
  • NPI 1609072727
  NPD (past) Authorized official

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093708133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 W REDONDO BEACH BLVD",
            "address_2": "SUITE #203",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473227",
            "telephone_number": "310-329-1312",
            "fax_number": "310-329-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 W REDONDO BEACH BLVD",
            "address_2": "SUITE #203",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473227",
            "telephone_number": "310-329-1312",
            "fax_number": "310-329-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMASHIRO",
        "first_name": "JEFFREY",
        "middle_name": "YASUNORI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "037046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "5707192",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Haruo Yamamoto, D.D.S.
• Eunesse May Yamamoto, RDH
• Ron H Yamane, M.D.
• Yoko Yamane
• Robert Yamasaki, D.D.S.
• Bryce Kiyoshi Yamauchi, DPM
• Kiyomi Yamazaki, DDS
• Yan Yampolsky, DMD
• Andrew Jancy Yan
• Shuichi Yanagidaira

• Dentist in Gardena, CA
• Providers in Gardena, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.