Organization Active NPI

Ted K. Yu DDS, Inc

  • General Practice Dentistry
  • Montebello, CA
National Provider Identifier
1619171089
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42790 Issued in CA
Legal business name
TED K. YU DDS, INC
Practice address
600 W Beverly Blvd Ste a
Montebello, CA 90640-3660
Phone
(323) 724-4544
Fax
(323) 724-1160
NPI assigned
Jun 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ted Kuo Yu, DDS
Title
President
Phone
(323) 724-4544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 42790 CA Primary

Addresses

Primary practice location

600 W Beverly Blvd Ste a
Montebello, CA 90640-3660

Mailing address

600 West Beverly Blvd. Suite a
Montebello, CA 90640
Phone (323) 724-4544

National Provider Directory

National Provider Directory

Locations

600 W Beverly Blvd
Ste A
Montebello, CA 90640
Phone (323) 724-4544

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619171089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WEST BEVERLY BLVD. SUITE A",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "323-724-4544",
            "fax_number": "323-724-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W BEVERLY BLVD STE A",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403660",
            "telephone_number": "323-724-4544",
            "fax_number": "323-724-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED K. YU DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "KUO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-724-4544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • 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.