Active NPI
Eugene T Yamaguchi, DDS
- General Practice Dentistry
- Fresno, CA
National Provider Identifier
1104963941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 032416
- Practice address
- 5380 N Fresno St
Suite 106
Fresno, CA 93710-6847 - Phone
- (559) 226-4003
- Fax
- (559) 226-4005
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- 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 | 032416 | CA | Primary |
Addresses
Primary practice location
5380 N Fresno St
Suite 106
Fresno, CA 93710-6847
Mailing address
5380 N Fresno St
Suite 106
Fresno, CA 93710-6847
Phone (559) 226-4003
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 |
|---|---|---|---|
| 032416 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiffany Vu DMD PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Fresno, CA
- NPI 1699490391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104963941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5380 N FRESNO ST",
"address_2": "SUITE 106",
"city": "FRESNO",
"state": "CA",
"postal_code": "937106847",
"telephone_number": "559-226-4003",
"fax_number": "559-226-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5380 N FRESNO ST",
"address_2": "SUITE 106",
"city": "FRESNO",
"state": "CA",
"postal_code": "937106847",
"telephone_number": "559-226-4003",
"fax_number": "559-226-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMAGUCHI",
"first_name": "EUGENE",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "032416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- 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.