Active NPI
Teresa Yang
- Dentist
- Santa Monica, CA
National Provider Identifier
1386020972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31430
- Practice address
- 1510 10TH St
Santa Monica, CA 90401-2806 - Phone
- (310) 458-0501
- Fax
- (310) 458-0503
- NPI assigned
- Aug 5, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 31430 | CA | Primary |
Addresses
Primary practice location
1510 10TH St
Santa Monica, CA 90401-2806
Mailing address
1510 10TH St
Santa Monica, CA 90401-2806
Phone (310) 458-0501
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31430 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teresa K. Yang, D.D.S., a Professional Corporation | Dentist | 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 and National Provider Directory roles.
-
- Dentist
- Santa Monica, CA
- NPI 1982628459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1386020972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 10TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012806",
"telephone_number": "310-458-0501",
"fax_number": "310-458-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 10TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012806",
"telephone_number": "310-458-0501",
"fax_number": "310-458-0503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "TERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-05",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "31430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.