Individual provider Active NPI

Rey Quijano Yuliongsiu, D.D.S.

  • General Practice Dentistry
  • Clovis, CA
National Provider Identifier
1376606954
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46158 Issued in CA
Practice address
751 W Shaw Ave
Clovis, CA 93612-3217
Phone
(559) 323-5500
Fax
(559) 323-0130
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 46158 CA Primary

Addresses

Primary practice location

751 W Shaw Ave
Clovis, CA 93612-3217

Mailing address

4035 N Fresno St Ste 105
Fresno, CA 93726-4041
Phone (559) 228-9300

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
46158CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Valley Dental Care General Practice Past Accepting new patients
Western Dental Services, Inc. General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ryuliongsiu@direct.westerndental.com

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376606954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 N FRESNO ST STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264041",
            "telephone_number": "559-228-9300",
            "fax_number": "559-228-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W SHAW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123217",
            "telephone_number": "559-323-5500",
            "fax_number": "559-323-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YULIONGSIU",
        "first_name": "REY",
        "middle_name": "QUIJANO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.