Bertina Carmen Yuen, D.M.D., MMSC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

53116 Issued in CA

Practice address

247 N Lake Ave
Pasadena, CA 91101-1828

Phone

(626) 405-2922

NPI assigned

Jun 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1215133061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 TERRA LN",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078140",
            "telephone_number": "617-966-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011828",
            "telephone_number": "626-405-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUEN",
        "first_name": "BERTINA",
        "middle_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D., MMSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN-21454-1",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "53116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hsu-Chia Yuan
• Yuan Yuan, M.D., PH.D.
• Kathleen Yue
• Alexander Yuen, B.D.S.
• Annie L Yuen, PHARM D.
• Terrance L. Yuen, AU.D.
• Bertram Emmanuel Yuh, MD, MSHCPM, MISM
• Katrina Yuille, D.D.S.
• Katelyn Yule
• Alice Yung, MD

• Periodontics in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.