Maichao Yang

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS105663 Issued in CA

Practice address

16455 Main St Ste 17
Hesperia, CA 92345-3505

Phone

(951) 217-4652

NPI assigned

Nov 9, 2020

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1578165247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 JENKINS LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011048",
            "telephone_number": "951-217-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 MAIN ST STE 17",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453505",
            "telephone_number": "951-217-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "MAICHAO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS105663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Woods
• Susan Wright, MFTI
• Zhen Hui Wung, D.D.S.
• Xenus Medical Wellness LLC
• Glenn Richard Yamate, PHARM.D.
• Michel Wageh Gamil Yassa
• Anna Yatsenko, D.C
• Yds Pharmacy Corporation (Your Drug Store)
• Koreana Lyn Yeager
• James Yeargin

• General Practice Dentistry in Hesperia, CA
• Providers in Hesperia, 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 Nov 9, 2020; 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.