Organization Active NPI

Yu-Song Yen

  • Dentist
  • San Diego, CA
National Provider Identifier
1699951764
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
YU-SONG YEN
Practice address
5222 Balboa Ave Ste 71
San Diego, CA 92117-6964
Phone
(858) 279-1900
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Yu-Song Yen, DDSNPI 1801947254
Title
Owner
Phone
(858) 279-1900

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5222 Balboa Ave Ste 71
San Diego, CA 92117-6964

Mailing address

5222 Balboa Ave Ste 71
San Diego, CA 92117-6964
Phone (858) 279-1900

Other identifiers 1

IdentifierTypeStateIssuer
1801947254OtherCADENTI-CAL

Other names 1

  • Clairemont Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

5222 Balboa Ave
Ste 71
San Diego, CA 92117
Phone (858) 279-1900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1699951764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 BALBOA AVE STE 71",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176964",
            "telephone_number": "858-279-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 BALBOA AVE STE 71",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176964",
            "telephone_number": "858-279-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YU-SONG YEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "YEN",
        "authorized_official_first_name": "YU-SONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-279-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "1801947254",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clairemont Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.