Individual provider Active NPI

Elmer O Yoshida, DDS

  • General Practice Dentistry
  • Tustin, CA
National Provider Identifier
1497745533
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39222 Issued in CA
Practice address
137 W 1St St
Suite B-2
Tustin, CA 92780-3209
Phone
(949) 400-0543
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39222 CA Primary

Addresses

Primary practice location

137 W 1St St
Suite B-2
Tustin, CA 92780-3209

Mailing address

137 W 1St St
Suite B-2
Tustin, CA 92780-3209
Phone (949) 400-0543

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

State licenses

LicenseStateTypeSpecialty
39222CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Yoshida Dental, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497745533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 W 1ST ST",
            "address_2": "SUITE B-2",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803209",
            "telephone_number": "949-400-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W 1ST ST",
            "address_2": "SUITE B-2",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803209",
            "telephone_number": "949-400-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHIDA",
        "first_name": "ELMER",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.