Active NPI
Sai Fan Yu, DDS
- Dentist
- Modesto, CA
National Provider Identifier
1114172988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57751
- Practice address
- 1801 Tully Rd Ste D1
Modesto, CA 95350-2937 - Phone
- (209) 526-9430
- NPI assigned
- Nov 20, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 57751 | CA | Primary |
Addresses
Primary practice location
1801 Tully Rd Ste D1
Modesto, CA 95350-2937
Mailing address
334 Shaw Ave Ste 125
Clovis, CA 93612-3865
Phone (559) 297-8000
Other practice location 1
334 Shaw Ave Ste 125
Clovis, CA 93612-3865
Phone (559) 297-8000
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 |
|---|---|---|---|
| 57751 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sai Fan Yu | Dentist | 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.
-
- Dentist
- Clovis, CA
- NPI 1114584158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1114172988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 SHAW AVE STE 125",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936123865",
"telephone_number": "559-297-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 TULLY RD STE D1",
"city": "MODESTO",
"state": "CA",
"postal_code": "953502937",
"telephone_number": "209-526-9430"
}
],
"practiceLocations": [
{
"address_1": "334 Shaw Ave Ste 125",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "CA",
"postal_code": "936123865",
"country_code": "US",
"telephone_number": "559-297-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YU",
"first_name": "SAI FAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-20",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.