Active NPI
Juhyong Yi, D.D.S, MS, PH.D.
- Prosthodontics
- Los Altos, CA
National Provider Identifier
1740464080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 48206
- Practice address
- 4846 El Camino Real
Suite a
Los Altos, CA 94022-1405 - Phone
- (650) 964-2225
- Fax
- (650) 964-2056
- NPI assigned
- Dec 21, 2007
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 48206 | CA | Primary |
Addresses
Primary practice location
4846 El Camino Real
Suite a
Los Altos, CA 94022-1405
Mailing address
4846 El Camino Real
Suite a
Los Altos, CA 94022-1405
Phone (650) 964-2225
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
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48206 | CA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1740464080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4846 EL CAMINO REAL",
"address_2": "SUITE A",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221405",
"telephone_number": "650-964-2225",
"fax_number": "650-964-2056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4846 EL CAMINO REAL",
"address_2": "SUITE A",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221405",
"telephone_number": "650-964-2225",
"fax_number": "650-964-2056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YI",
"first_name": "JUHYONG",
"name_prefix": "Dr.",
"credential": "D.D.S, MS, PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-21",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "48206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.