Active NPI
James Michael Yee, D.D.S.
- Pediatric Dentistry
- Reseda, CA
National Provider Identifier
1164542544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 36305
- Practice address
- 19231 Victory Blvd
Suite 551
Reseda, CA 91335-6308 - Phone
- (818) 345-4296
- Fax
- (818) 345-4297
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 36305 | CA | Primary |
Addresses
Primary practice location
19231 Victory Blvd
Suite 551
Reseda, CA 91335-6308
Mailing address
19231 Victory Blvd
Suite 551
Reseda, CA 91335-6308
Phone (818) 345-4296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B36305 | Medicaid | CA |
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 |
|---|---|---|---|
| 36305 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1164542544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19231 VICTORY BLVD",
"address_2": "SUITE 551",
"city": "RESEDA",
"state": "CA",
"postal_code": "913356308",
"telephone_number": "818-345-4296",
"fax_number": "818-345-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19231 VICTORY BLVD",
"address_2": "SUITE 551",
"city": "RESEDA",
"state": "CA",
"postal_code": "913356308",
"telephone_number": "818-345-4296",
"fax_number": "818-345-4297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEE",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "36305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B36305",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.