Individual provider Active NPI

Christian Norman Dav Yuzon Santa Maria, DDS, PHD

  • General Practice Dentistry
  • Rocklin, CA
National Provider Identifier
1437703352
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104170 Issued in CA
Practice address
6512 Lonetree Blvd Ste 100
Rocklin, CA 95765-5883
Phone
(916) 885-0871
NPI assigned
Jul 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 104170 CA
General Practice Dentistry 1223G0001X 104170 CA Primary

Addresses

Primary practice location

6512 Lonetree Blvd Ste 100
Rocklin, CA 95765-5883

Mailing address

4305 Los Cerros CT
Rocklin, CA 95677-2470
Phone (650) 278-1667

Other practice location 1

9700 W Taron Dr
Elk Grove, CA 95757-8145
Phone (916) 378-3578

Other practice location 2

3535 Callan Blvd Ste A
South San Francisco, CA 94080-5118
Phone (650) 623-5088

Other practice location 3

4585 Mission St
San Francisco, CA 94112-2603
Phone (415) 584-8500

Other practice location 4

5400 Park Dr
Rocklin, CA 95765-5562
Phone (916) 435-1155

Other names 1

  • Dr. Christian Yuzon Santa Maria Other name

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Dental Corporation Dentist CurrentSince Nov 3, 2019 Accepting new patients
Roytman &Morozova Inc Dentist PastSince Aug 1, 2019 Accepting new patients
Minh B Nguyen DDS Inc PastSince Feb 1, 2023 Accepting new patients

Locations

3535 Callan Blvd
#A
South San Francisco, CA 94080
Phone (650) 623-5088

Organizations & group practices 3

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": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1437703352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 LOS CERROS CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772470",
            "telephone_number": "650-278-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 LONETREE BLVD STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655883",
            "telephone_number": "916-885-0871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 W Taron Dr",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957578145",
            "country_code": "US",
            "telephone_number": "916-378-3578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Callan Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940805118",
            "country_code": "US",
            "telephone_number": "650-623-5088",
            "fax_number": "650-623-5099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4585 Mission St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941122603",
            "country_code": "US",
            "telephone_number": "415-584-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 Park Dr",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "957655562",
            "country_code": "US",
            "telephone_number": "916-435-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTA MARIA",
        "first_name": "CHRISTIAN NORMAN DAV",
        "middle_name": "YUZON",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104170",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIAN",
            "last_name": "SANTA MARIA",
            "middle_name": "YUZON",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.