Individual provider Active NPI

Jaysen Jerome Lopez Ymas, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1295218840
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
103186 Issued in CA
Practice address
9 Silliman St Ste 1
San Francisco, CA 94134-1200
Phone
(415) 468-1777
NPI assigned
Sep 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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 103186 CA Primary

Addresses

Primary practice location

9 Silliman St Ste 1
San Francisco, CA 94134-1200

Mailing address

150 Laura St
San Francisco, CA 94112-4012
Phone (415) 994-0978

Other practice location 1

6287 Mission St
Daly City, CA 94014-2010
Phone (650) 991-7400

Other practice location 2

3405 International Blvd
Oakland, CA 94601-3035
Phone (510) 469-2016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103186CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1295218840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LAURA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941124012",
            "telephone_number": "415-994-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SILLIMAN ST STE 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941341200",
            "telephone_number": "415-468-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6287 Mission St",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940142010",
            "country_code": "US",
            "telephone_number": "650-991-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3405 International Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946013035",
            "country_code": "US",
            "telephone_number": "510-469-2016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YMAS",
        "first_name": "JAYSEN JEROME",
        "middle_name": "LOPEZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.