NPIMap

Organization Active NPI

Dr.Charles C Jeng/Dr.Martha Z Yan

  • Dentist
  • Santa Monica, CA
National Provider Identifier
1437305455
Registry record updated Aug 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50021 Issued in CA
Legal business name
DR.CHARLES C JENG/DR.MARTHA Z YAN
Practice address
3011 Santa Monica Blvd
Santa Monica, CA 90404-2555
Phone
(310) 829-1559
Fax
(310) 828-7383
NPI assigned
Aug 10, 2008
Last updated
Aug 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2008

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

Authorized official

Name
Dr. Martha Z Yan, D.D.S.
Title
Co-Onwer
Phone
(310) 829-1559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50021 CA Primary

Addresses

Primary practice location

3011 Santa Monica Blvd
Santa Monica, CA 90404-2555

Mailing address

3011 Santa Monica Blvd
Santa Monica, CA 90404-2555
Phone (310) 829-1559

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1218326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218326400000",
    "number": "1437305455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042555",
            "telephone_number": "310-829-1559",
            "fax_number": "310-828-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042555",
            "telephone_number": "310-829-1559",
            "fax_number": "310-828-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.CHARLES C JENG/DR.MARTHA Z YAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-10",
        "last_updated": "2008-08-10",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "CO-ONWER",
        "authorized_official_telephone_number": "310-829-1559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50021",
            "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 10, 2008; 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.