Amy Yonemitsu, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63912 Issued in CA

Practice address

110 Nut Tree Pkwy
Vacaville, CA 95687-3251

Phone

(707) 451-8390

NPI assigned

Sep 2, 2014

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Mantena and Ghazal Dental Corporation

  • General Practice Dentistry
  • Vacaville, CA
  • NPI 1043589294
  NPD (past)

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1306246988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22315 CAPOTE DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939081006",
            "telephone_number": "559-916-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NUT TREE PKWY",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873251",
            "telephone_number": "707-451-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONEMITSU",
        "first_name": "AMY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Yearnshaw
• Christy J Yee, PHARM.D.
• Natalia Yevtukh, M.S. SLP
• Baqara Yoder, PHARMD
• Michelle Ivonne Yokoyama, MFT
• Derek Andrew Yost
• Young Artists' Conservatory of Music
• Lisa Young-Prendergast, MD
• Aaron Thomas Young
• Hannah Summer Young

• General Practice Dentistry in Vacaville, CA
• Providers in Vacaville, 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 Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.