Individual provider Active NPI

Yen Ngoc Dahl, WHNP-BC, CNM

  • Midwife
  • Corona, CA
National Provider Identifier
1376136689
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
236173 Issued in CA
Practice address
1353 Old Temescal Rd
Corona, CA 92881-7262
Phone
(951) 547-4208
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 236173 CA Primary
Women's Health Nurse Practitioner 363LW0102X 95016662 CA

Addresses

Primary practice location

1353 Old Temescal Rd
Corona, CA 92881-7262

Mailing address

1353 Old Temescal Rd
Corona, CA 92881-7262
Phone (951) 547-4208

Other practice location 1

1881 Business Center Dr Ste 8A
San Bernardino, CA 92408-3448
Phone (909) 567-2165

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
236173CAMDMidwife
95016662CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Natural Birth Place Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1376136689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 OLD TEMESCAL RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817262",
            "telephone_number": "951-547-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 OLD TEMESCAL RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817262",
            "telephone_number": "951-547-4208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1881 Business Center Dr Ste 8A",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083448",
            "country_code": "US",
            "telephone_number": "909-567-2165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHL",
        "first_name": "YEN",
        "middle_name": "NGOC",
        "credential": "WHNP-BC, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "236173",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95016662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.