Annie Yi Yan Ha, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

103403 Issued in CA

Practice address

17401 Bastanchury Rd Ste 103
Yorba Linda, CA 92886-1320

Phone

(714) 524-3368

NPI assigned

Jul 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Annie Ha DDS Inc

  • Dentist
  • Yorba Linda, CA
  • NPI 1861031528
  NPD Authorized official
• D2 Dental of Michigan

  • General Practice Dentistry
  • Jackson, MI
  • NPI 1821420043
  NPD (past)
• Pro Dental Mi 1 PC

  • General Practice Dentistry
  • Jackson, MI
  • NPI 1437986700
  NPD (past)

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1487095279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 JACKSON XING",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022039",
            "telephone_number": "517-840-0000",
            "fax_number": "517-841-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17401 BASTANCHURY RD STE 103",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861320",
            "telephone_number": "714-524-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "ANNIE",
        "middle_name": "YI YAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Evbuomwan Guerrero, MFT
• Kathleen Gulbranson
• Kimberly Gunderson, LMFT
• Maria Josefina Gutierrez, DDS
• Flor Judith Guzman
• Mai Ha
• Sandra Kay Haase, C.S.
• Michelle Jeanine Hackett
• Jenny Merrill Hall, MA MFT
• Michael Hall, M.D.

• Dentist in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.