Active NPI
Mid Valley Dental Care
- General Practice Dentistry
- Fresno, CA
National Provider Identifier
1669598975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46158
- Legal business name
- MID VALLEY DENTAL CARE
- Practice address
- 4035 N Fresno St Ste 105
Fresno, CA 93726-4041 - Phone
- (559) 228-9300
- Fax
- (559) 228-9302
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rey Quijano Yuliongsiu, D.D.S.
- Title
- Dentist
- Phone
- (559) 228-9300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46158 | CA | Primary |
Addresses
Primary practice location
4035 N Fresno St Ste 105
Fresno, CA 93726-4041
Mailing address
4035 N Fresno St Ste 105
Fresno, CA 93726-4041
Phone (559) 228-9300
National Provider Directory
National Provider DirectoryLocations
4035 N Fresno St
Ste 105
Fresno, CA 93726
Phone (559) 228-9300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Clovis, CA
- NPI 1376606954
-
- Dentist
- Fresno, CA
- NPI 1447317565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669598975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4035 N FRESNO ST STE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937264041",
"telephone_number": "559-228-9300",
"fax_number": "559-228-9302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4035 N FRESNO ST STE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937264041",
"telephone_number": "559-228-9300",
"fax_number": "559-228-9302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID VALLEY DENTAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YULIONGSIU",
"authorized_official_first_name": "REY",
"authorized_official_middle_name": "QUIJANO",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "559-228-9300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, 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.