Individual provider Active NPI

Rex Ryuichi Yanase, DDS

  • General Practice Dentistry
  • Torrance, CA
National Provider Identifier
1285783076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50022 Issued in CA
Practice address
22330 Hawthorne Blvd Ste 316
Torrance, CA 90505-2590
Phone
(310) 378-4244
Fax
(310) 378-0164
NPI assigned
Jan 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50022 CA Primary

Addresses

Primary practice location

22330 Hawthorne Blvd Ste 316
Torrance, CA 90505-2590

Mailing address

22330 Hawthorne Blvd Ste 316
Torrance, CA 90505-2590
Phone (310) 378-4244

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150224001551 CA Order and Referring Only - DentistPractitioner - Dentist 7810213568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yanase Dental Group General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285783076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22330 HAWTHORNE BLVD STE 316",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052590",
            "telephone_number": "310-378-4244",
            "fax_number": "310-378-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22330 HAWTHORNE BLVD STE 316",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052590",
            "telephone_number": "310-378-4244",
            "fax_number": "310-378-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANASE",
        "first_name": "REX",
        "middle_name": "RYUICHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.