NPIMap

Organization Active NPI

Yolanda S Cervantes DMD, Inc.

  • General Practice Dentistry
  • Carson, CA
National Provider Identifier
1487694840
Registry record updated Aug 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36051 Issued in CA
Legal business name
YOLANDA S CERVANTES DMD, INC.
Practice address
208 E Carson St
Suite 200
Carson, CA 90745-2700
Phone
(310) 830-2624
Fax
(310) 830-4464
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2007

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

Authorized official

Name
Dr. Michael M Cervantes, DMDNPI 1437325743
Title
Owner
Phone
(310) 830-2624

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 36051 CA Primary

Addresses

Primary practice location

208 E Carson St
Suite 200
Carson, CA 90745-2700

Mailing address

208 E Carson St
Suite 200
Carson, CA 90745-2700
Phone (310) 830-2624

National Provider Directory

National Provider Directory

Locations

208 E Carson St
Ste 200
Carson, CA 90745
Phone (310) 830-2624

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188000000000",
    "number": "1487694840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E CARSON ST",
            "address_2": "SUITE 200",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452700",
            "telephone_number": "310-830-2624",
            "fax_number": "310-830-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E CARSON ST",
            "address_2": "SUITE 200",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452700",
            "telephone_number": "310-830-2624",
            "fax_number": "310-830-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLANDA S CERVANTES DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-08-25",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-830-2624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.