Eliot M Yeo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

37310 Issued in CA

Practice address

3410 La Sierra Ave
#D la Sierra Family Dentistry
Riverside, CA 92503-5205

Phone

(951) 354-9550

Fax

(951) 354-8644

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

No

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.

• La Sierra Family Dentistry

  • Dentist
  • Riverside, CA
  • NPI 1043401664
  NPD (past) Authorized official
• Yucaipa Family Dentistry

  • Dentist
  • Yucaipa, CA
  • NPI 1467645291
  NPD (past) Authorized official
• Chanchai Sangsurasak, DDS Inc.

  • Dentist
  • Riverside, CA
  • NPI 1164851747
  NPD (past)
• Sae Hwan Chung DDS Inc

  • Dental Clinic/Center
  • Yucaipa, CA
  • NPI 1215724596
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679618557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34488 YUCAIPA BLVD",
            "address_2": "#F YUCAIPA FAMILY DENTISTRY",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992482",
            "telephone_number": "909-797-0303",
            "fax_number": "909-797-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 LA SIERRA AVE",
            "address_2": "#D LA SIERRA FAMILY DENTISTRY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035205",
            "telephone_number": "951-354-9550",
            "fax_number": "951-354-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEO",
        "first_name": "ELIOT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Yekubu
• Kristin Herdman Yellam, LCSW, MSW
• Nathan Hao Hsin Yen, MD
• Alexander Yeo
• Anthony Yeo
• Elvin Kee-Ean Yeo, MD
• Mickey Yep, CRNA
• Miriam Yepez
• Christian Yerena
• Sivakumar R. Yeturu, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.