NPIMap

Individual provider Active NPI

Tina Yoo, D.D.S.

  • General Practice Dentistry
  • Daly City, CA
National Provider Identifier
1548553118
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51005 Issued in CA
Practice address
333 Gellert Blvd
Suite #242
Daly City, CA 94015-2621
Phone
(650) 757-3636
Fax
(650) 757-1775
NPI assigned
May 16, 2011
Last updated
May 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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 51005 CA Primary

Addresses

Primary practice location

333 Gellert Blvd
Suite #242
Daly City, CA 94015-2621

Mailing address

333 Gellert Blvd
Suite #242
Daly City, CA 94015-2621
Phone (650) 757-3636

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tina H. Yoo, D.D.S., M.S., Inc. General Practice Current Accepting new patients
Rowshan Ahani, D.D.S., M.S., Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1548553118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD",
            "address_2": "SUITE #242",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152621",
            "telephone_number": "650-757-3636",
            "fax_number": "650-757-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD",
            "address_2": "SUITE #242",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152621",
            "telephone_number": "650-757-3636",
            "fax_number": "650-757-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "TINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.