Organization Active NPI

Sai Fan Yu

  • Dentist
  • Clovis, CA
National Provider Identifier
1114584158
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SAI FAN YU
Doing business as
Sai Fan Yu
Practice address
334 Shaw Ave Ste 125
Clovis, CA 93612-3865
Phone
(559) 297-8000
Fax
(559) 297-3480
NPI assigned
May 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Dr. Sai Fan Yu
Title
Dentist
Phone
(415) 608-0021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

334 Shaw Ave Ste 125
Clovis, CA 93612-3865

Mailing address

334 Shaw Ave Ste 125
Clovis, CA 93612-3865
Phone (559) 297-8000

Other practice location 1

1132 Olivewood Dr
Merced, CA 95348-1210
Phone (209) 722-2435

Other practice location 2

1801 Tully Rd Ste D1
Modesto, CA 95350-2937
Phone (209) 545-1210

Other identifiers 1

IdentifierTypeStateIssuer
1114172988MedicaidCA

Other names 1

  • Sai Fan Yu Doing business as

National Provider Directory

National Provider Directory

Locations

334 Shaw Ave
Ste 125
Clovis, CA 93612
Phone (559) 297-8000

1132 Olivewood Dr
Merced, CA 95348
Phone (209) 722-2435

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1114584158",
    "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",
            "fax_number": "559-297-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 SHAW AVE STE 125",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123865",
            "telephone_number": "559-297-8000",
            "fax_number": "559-297-3480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1132 Olivewood Dr",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953481210",
            "country_code": "US",
            "telephone_number": "209-722-2435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Tully Rd Ste D1",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953502937",
            "country_code": "US",
            "telephone_number": "209-545-1210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAI FAN YU",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "SAI",
        "authorized_official_middle_name": "FAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "415-608-0021",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114172988",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sai Fan Yu",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.