Wilson Ming Yuen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI033886 Issued in CA

Practice address

1155 2ND St
Suite B
Brentwood, CA 94513-2285

Phone

(925) 516-8793

Fax

(925) 516-4251

NPI assigned

Oct 25, 2005

Sex

Male

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

State licenses

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1265422745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 GRAVINA PL",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666272",
            "telephone_number": "925-516-8793",
            "fax_number": "925-516-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 2ND ST",
            "address_2": "SUITE B",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132285",
            "telephone_number": "925-516-8793",
            "fax_number": "925-516-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUEN",
        "first_name": "WILSON",
        "middle_name": "MING",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DI033886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Richard Yan, PT, DPT
• Sudy R Yang, MD
• Chelsea Jean Yi
• Yogesh Trehan MD Inc
• Farrah Sahagun Yu
• Takreem Zaidi
• Conner Jay Zanca
• Fabiola Zaragoza, OD
• Parisa Zargar
• Sandra Bucic Zarich, FNP

• General Practice Dentistry in Brentwood, CA
• Providers in Brentwood, 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 May 16, 2011; 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.