Sylvania Sai-Fan Yu DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

57751 Issued in CA

Legal business name

SYLVANIA SAI-FAN YU DDS, INC

Practice address

1801 Tully Rd Ste D1
Modesto, CA 95350-2937

Phone

(209) 526-9430

NPI assigned

Jul 3, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Sai Fan Yu, DDS

Title

Owner

Phone

(415) 608-0021

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1154817054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 TULLY RD STE D1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953502937",
            "telephone_number": "209-526-9430"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "SYLVANIA SAI-FAN YU DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "SAI FAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-608-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "57751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Modesto, CA
• Providers in Modesto, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.