NPIMap

Organization Active NPI

Doctor Yu Dental Corporation

  • Dentist
  • San Luis Obispo, CA
National Provider Identifier
1205795945
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DOCTOR YU DENTAL CORPORATION
Practice address
805 Aerovista PL Ste 106
San Luis Obispo, CA 93401-7921
Phone
(805) 544-7804
NPI assigned
Jan 19, 2026
Last updated
Jan 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Dr. Jerry YuNPI 1821318577
Title
DDS
Phone
(805) 598-0519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

805 Aerovista PL Ste 106
San Luis Obispo, CA 93401-7921

Mailing address

805 Aerovista PL Ste 106
San Luis Obispo, CA 93401-7921
Phone (805) 544-7804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260310001618 CA Part B Supplier - Clinic/Group Practice 3476036302 Receives reassigned benefits from 1 practitioner
Practice locations: San Luis Obispo, CA

National Provider Directory

National Provider Directory

Locations

805 Aerovista Pl
Ste 106
Sn Luis Obisp, CA 93401
Phone (805) 544-7804

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1205795945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 AEROVISTA PL STE 106",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017921",
            "telephone_number": "805-544-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 AEROVISTA PL STE 106",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017921",
            "telephone_number": "805-544-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR YU DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "805-598-0519",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.