Jacqueline Uy Yun, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

100640 Issued in CA

Practice address

520 Raleys Towne Ctr
Rohnert Park, CA 94928-2444

Phone

(707) 768-0077

NPI assigned

Nov 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: jyun614053@direct.ochin.org

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1245772607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 RALEYS TOWNE CTR",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 RALEYS TOWNE CTR",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282444",
            "telephone_number": "707-768-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "JACQUELINE",
        "middle_name": "UY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunkyo Yi, RPH
• Donna Yock, DMD
• Julie C Yonts, PTA
• Terrence Young
• Tiffanie Tian Yu, OD
• Mordehai Zadik, M.D.
• Lilian Patricia Zelaya-Coria, LCSW

• Dentist in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.