Active NPI
Yucaipa Family Dentistry
- Dentist
- Yucaipa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37310
- Legal business name
- YUCAIPA FAMILY DENTISTRY
- Practice address
- 34848 Yucaipa Blvd
Suite F
Yucaipa, CA 92399 - Phone
- (909) 797-0303
- Fax
- (909) 797-8714
- NPI assigned
- Aug 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eliot M Yeo, DDS
- Title
- Dentist
- Phone
- (909) 797-0303
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37310 | CA | Primary |
Addresses
Primary practice location
34848 Yucaipa Blvd
Suite F
Yucaipa, CA 92399
Mailing address
34488 Yucaipa Blvd
Suite F
Yucaipa, CA 92399
Phone (909) 797-0303
Other names 1
- Yucaipa Family Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- La Sierra Family Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Riverside, CA
- NPI 1043401664
Locations
34848 Yucaipa Blvd
Ste F
Yucaipa, CA 92399
Phone (909) 797-0303
34488 Yucaipa Blvd
Ste F
Yucaipa, CA 92399
Phone (909) 797-0303
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Riverside, CA
- NPI 1679618557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187913600000",
"number": "1467645291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34488 YUCAIPA BLVD",
"address_2": "SUITE F",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "92399",
"telephone_number": "909-797-0303",
"fax_number": "909-797-8714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34848 YUCAIPA BLVD",
"address_2": "SUITE F",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "92399",
"telephone_number": "909-797-0303",
"fax_number": "909-797-8714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YUCAIPA FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-24",
"last_updated": "2007-08-24",
"status": "A",
"authorized_official_last_name": "YEO",
"authorized_official_first_name": "ELIOT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "909-797-0303",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "37310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Yucaipa Family Dentistry",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Yucaipa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.