Jeffrey Y Yamashiro DDS., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

037046 Issued in CA

Legal business name

JEFFREY Y YAMASHIRO DDS., INC.

Practice address

1605 W Redondo Beach Blvd
Suite 203
Gardena, CA 90247-3241

Phone

(310) 329-1312

Fax

(310) 329-1074

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Yasunori Yamashiro, DDSNPI 1093708133

Title

President

Phone

(310) 329-1312

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeffrey Yasunori Yamashiro, DDS

  • Dentist
  • Gardena, CA
  • NPI 1093708133
  NPD (past) Authorized official

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609072727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 W REDONDO BEACH BLVD",
            "address_2": "SUITE 203",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473241",
            "telephone_number": "310-329-1312",
            "fax_number": "310-329-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 W REDONDO BEACH BLVD",
            "address_2": "SUITE 203",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473241",
            "telephone_number": "310-329-1312",
            "fax_number": "310-329-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY Y YAMASHIRO DDS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAMASHIRO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "YASUNORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-329-1312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "037046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JC Park Dental Group, Inc.
• Desiree Nicole Jeanes
• Melody Jebraili
• Talia Jefferson
• Jaden Jeffery
• Brittany Jenkins, LMFT
• Janet G Jenson, CAODC
• Caroline Jeong
• Eusun Jeong
• Yong in Jane Jeong

• Dentist in Gardena, CA
• Providers in Gardena, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.