Michael Guy Yamane, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI034265 Issued in CA

Practice address

1960 Glenoaks Blvd
Suite 2
San Fernando, CA 91340-1671

Phone

(818) 361-1717

Fax

(818) 361-6016

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rebecca Yamane, DDS, PC

  • Dental Clinic/Center
  • San Fernando, CA
  • NPI 1104744291
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508996760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 GLENOAKS BLVD",
            "address_2": "SUITE 2",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401671",
            "telephone_number": "818-361-1717",
            "fax_number": "818-361-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 GLENOAKS BLVD",
            "address_2": "SUITE 2",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401671",
            "telephone_number": "818-361-1717",
            "fax_number": "818-361-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMANE",
        "first_name": "MICHAEL",
        "middle_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DI034265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Andrew Williams, FNP
• Maria G Williams
• Aida Lizeth Willis, RDH
• Debbie LR Wolpert, PT
• Brittany Morgan Yahalom
• Rebecca Sue Yamane
• Yamposlky, Gershfeld Dental Corporation
• Farid Yasharpour, M.D.
• Cristina Ybanez-Sorila, PT
• Tiffany Rose Leano Ynoquio, N.P.

• General Practice Dentistry in San Fernando, CA
• Providers in San Fernando, CA by specialty
• General Practice Dentistry in California

• 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.
• 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.