Yunfei Fan DDS, a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50747 Issued in CA

Legal business name

YUNFEI FAN DDS, A PROFESSIONAL CORPORATION

Practice address

1420 Guerneville Rd Ste 5
Santa Rosa, CA 95403-4124

Phone

(707) 623-9471

Fax

(707) 978-2463

NPI assigned

Nov 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Yunfei Fan, DDSNPI 1225105547

Title

President

Phone

(707) 623-9471

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Yunfei Fan, D.D.S

  • General Practice Dentistry
  • Santa Rosa, CA
  • NPI 1225105547
  NPD (past) Authorized official

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1205170065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 GUERNEVILLE RD STE 5",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954034124",
            "telephone_number": "707-623-9471",
            "fax_number": "707-978-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 GUERNEVILLE RD STE 5",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954034124",
            "telephone_number": "707-623-9471",
            "fax_number": "707-978-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUNFEI FAN DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "YUNFEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-623-9471",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mojgan G Yousefzadeh, D.D.S.
• Amanda Yu
• Benjamin Yu
• Leo Yuan, PHARMD
• Yuichiro D Nakai a Medical Corporation
• Madison Nichole Yungert
• Shara Marissa Yurkiewicz, M.D.
• Ywca Sonoma County
• Julia Lynn Zabelin, LCSW
• Zafis Chiropractic, Inc

• General Practice Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.