Individual provider Active NPI

Yige Zhao, DDS

  • Dentist
  • San Francisco, CA
National Provider Identifier
1205212859
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64863 Issued in CA
Practice address
415 Sansome St
San Francisco, CA 94111-3120
Phone
(415) 433-9032
NPI assigned
Aug 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 64863 CA Primary

Addresses

Primary practice location

415 Sansome St
San Francisco, CA 94111-3120

Mailing address

9415 Seltzer CT
San Diego, CA 92123-3245
Phone (951) 587-5171

Other practice location 1

2600 S Tracy Blvd
Ste 170
Tracy, CA 95376-9103
Phone (209) 836-5441

Other practice location 2

2600 S Tracy Blvd
Ste 170
Tracy, CA 95376-9103
Phone (209) 836-5441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Entabi Dental Corporation 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.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205212859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 SELTZER CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233245",
            "telephone_number": "951-587-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SANSOME ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113120",
            "telephone_number": "415-433-9032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 S Tracy Blvd",
            "address_2": "Ste 170",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953769103",
            "country_code": "US",
            "telephone_number": "209-836-5441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 S Tracy Blvd",
            "address_2": "Ste 170",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953769103",
            "country_code": "US",
            "telephone_number": "209-836-5441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "YIGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.