Individual provider Active NPI

Linda Yu, D.D.S.

  • Dentist
  • Fair Oaks, CA
National Provider Identifier
1427054618
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50120 Issued in CA
Practice address
10425 Fair Oaks Blvd
Ste 103
Fair Oaks, CA 95628-7559
Phone
(916) 966-2525
Fax
(916) 966-9537
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50120 CA Primary

Addresses

Primary practice location

10425 Fair Oaks Blvd
Ste 103
Fair Oaks, CA 95628-7559

Mailing address

10425 Fair Oaks Blvd
Ste 103
Fair Oaks, CA 95628-7559
Phone (916) 966-2525

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
50120CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1427054618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 FAIR OAKS BLVD",
            "address_2": "STE 103",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287559",
            "telephone_number": "916-966-2525",
            "fax_number": "916-966-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 FAIR OAKS BLVD",
            "address_2": "STE 103",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287559",
            "telephone_number": "916-966-2525",
            "fax_number": "916-966-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "LINDA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.