Andrew Yu, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

106365 Issued in CA

Practice address

10321 San Pablo Ave
El Cerrito, CA 94530-3113

Phone

(510) 527-5944

NPI assigned

Jul 2, 2021

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

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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.

• Raymond a. Yu Professional Dental Corporation

  • General Practice Dentistry
  • El Cerrito, CA
  • NPI 1275674343
  NPD (past)

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1659942456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10321 SAN PABLO AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303113",
            "telephone_number": "510-527-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10321 SAN PABLO AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303113",
            "telephone_number": "510-527-5944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Turquoise Dr",
            "address_purpose": "LOCATION",
            "city": "Hercules",
            "state": "CA",
            "postal_code": "945471763",
            "country_code": "US",
            "telephone_number": "510-837-9635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4815 Watt Ave",
            "address_purpose": "LOCATION",
            "city": "North Highlands",
            "state": "CA",
            "postal_code": "956605108",
            "country_code": "US",
            "telephone_number": "916-454-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-02",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evaon Chuklan Wong-Kim, PHD, MSW, MPH
• Vivian Wong, LAC
• Kelsey Wunderle
• Surn-Lee Yek
• Yoli
• Raymond Aunglwin Yu, DDS
• Sumera Zeeshan, D.D.S
• Marcie Zellner, L.AC
• Chowyu Zhang
• Haiqing Zhao

• Dentist in El Cerrito, CA
• Providers in El Cerrito, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.