NPIMap

Organization Active NPI

Raymond a. Yu Professional Dental Corporation

Doing business as el cerrito dental care

  • General Practice Dentistry
  • El Cerrito, CA
National Provider Identifier
1275674343
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40664 Issued in CA
Legal business name
RAYMOND A. YU PROFESSIONAL DENTAL CORPORATION
Doing business as
el cerrito dental care
Practice address
10321 San Pablo Ave
El Cerrito, CA 94530-3113
Phone
(510) 527-5944
Fax
(510) 527-5974
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Dr. Raymond A YuNPI 1184764722
Title
President
Phone
(510) 527-5944

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 40664 CA Primary

Addresses

Primary practice location

10321 San Pablo Ave
El Cerrito, CA 94530-3113

Mailing address

10321 San Pablo Ave
El Cerrito, CA 94530-3113
Phone (510) 527-5944

Other names 1

  • el cerrito dental care Doing business as

National Provider Directory

National Provider Directory

Locations

10321 San Pablo Ave
El Cerrito, CA 94530
Phone (510) 527-5944

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1275674343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10321 SAN PABLO AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303113",
            "telephone_number": "510-527-5944",
            "fax_number": "510-527-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10321 SAN PABLO AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303113",
            "telephone_number": "510-527-5944",
            "fax_number": "510-527-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND A. YU PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-527-5944",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "el cerrito dental care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cerrito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.