Mudit Krishna Yadav

Primary specialty

DentistTaxonomy code 122300000X

License

103833 Issued in CA

Practice address

570 E Arrow Hwy Ste B
San Dimas, CA 91773-3347

Phone

(424) 571-0770

NPI assigned

Apr 30, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

State licenses

Interoperability endpoints

• Direct secure messaging: myadav268400@direct-ucsfmedicalcenter.org

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1346804994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 E ARROW HWY STE B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733347",
            "telephone_number": "909-927-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 E ARROW HWY STE B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733347",
            "telephone_number": "424-571-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Pearson Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932573360",
            "country_code": "US",
            "telephone_number": "559-788-2532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1133 W Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932575839",
            "country_code": "US",
            "telephone_number": "877-960-3426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YADAV",
        "first_name": "MUDIT",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60936281",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Wolfe, PD
• Christopher Che Dar Wong, DO
• Vione Wong, OD
• Lewit Worrell, MD
• Wei -I Xu, M.D.
• Zuhair O Yahya, M.D
• Yanina Jouzy DDS Inc.
• Adam Yim
• Sandy Thai Yokota, PA-C
• Daijah Shaniece Young

• Dentist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.