Individual provider Active NPI

Yelena Neverov

  • Dental Hygienist
  • West Sacramento, CA
National Provider Identifier
1346115151
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
19597 Issued in CA
Practice address
825 Harbor Blvd
West Sacramento, CA 95691-2201
Phone
(916) 372-8525
Fax
(916) 372-5971
NPI assigned
Oct 9, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 19597 CA Primary

Addresses

Primary practice location

825 Harbor Blvd
West Sacramento, CA 95691-2201

Mailing address

2945 Denise CT
West Sacramento, CA 95691-4230
Phone (916) 372-8525

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
19597CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yuly Vilderman DDS a Dental Corporation PastSince Oct 12, 2025 Accepting new patients
Alexander Vilderman Dental, Inc PastSince Oct 12, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1346115151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 DENISE CT",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956914230",
            "telephone_number": "916-372-8525",
            "fax_number": "916-372-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 HARBOR BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912201",
            "telephone_number": "916-372-8525",
            "fax_number": "916-372-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVEROV",
        "first_name": "YELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "19597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.