Active NPI
Gabriel Mun Kong Yeung, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Palmdale, CA
National Provider Identifier
1336230176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 42788
- Practice address
- 1051 West Ave M14
Ste a
Palmdale, CA 93551 - Phone
- (661) 274-8222
- Fax
- (661) 274-2442
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 42788 | CA | Primary |
Addresses
Primary practice location
1051 West Ave M14
Ste a
Palmdale, CA 93551
Mailing address
1051 West Ave M14
Ste a
Palmdale, CA 93551
Phone (661) 274-8222
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170308002697 | CA | Order and Referring Only - Other (Non-Physician) | 4880978923 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42788 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1336230176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 WEST AVE M14",
"address_2": "STE A",
"city": "PALMDALE",
"state": "CA",
"postal_code": "93551",
"telephone_number": "661-274-8222",
"fax_number": "661-274-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 WEST AVE M14",
"address_2": "STE A",
"city": "PALMDALE",
"state": "CA",
"postal_code": "93551",
"telephone_number": "661-274-8222",
"fax_number": "661-274-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEUNG",
"first_name": "GABRIEL",
"middle_name": "MUN KONG",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "42788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.