Active NPI
Yusuke Suzuki, DMD
- General Practice Dentistry
- Vallejo, CA
National Provider Identifier
1689833865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50379
- Practice address
- 211 Cadloni LN
B
Vallejo, CA 94591-8623 - Phone
- (707) 315-1541
- NPI assigned
- Jun 3, 2008
- Last updated
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50379 | CA | Primary |
Addresses
Primary practice location
211 Cadloni LN
B
Vallejo, CA 94591-8623
Mailing address
801 S Ham LN
Suite L
Lodi, CA 95242-7501
Phone (707) 315-1541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50379 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yusuke Suzuki D M D Inc | General Practice | Current | Accepting new patients |
Locations
801 S Ham Ln
Ste L
Lodi, CA 95242
Phone (209) 334-0630
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Lodi, CA
- NPI 1265201271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1689833865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S HAM LN",
"address_2": "SUITE L",
"city": "LODI",
"state": "CA",
"postal_code": "952427501",
"telephone_number": "707-315-1541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 CADLONI LN",
"address_2": "B",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945918623",
"telephone_number": "707-315-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUZUKI",
"first_name": "YUSUKE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-03",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
- Sutter Health Sacramento Sierra Region (Sutter Solano Medical Center)
- Sutter Regional Medical Foundation
- Sutter Solano Medical Center
- Sutter Solano Tcu
- Sutter Valley Hospitals (Sutter Solano Medical Center)
- Marisa Swain
- Tonilynne Burnham Swartz, PT
- Merrill F. Swiney, MD
- Dayna Sykes, ASW
- Mattthew Schroeder Symkowick, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.