Active NPI
Yolanda Bulaon Dycoco-Esguerra, DMD
- General Practice Dentistry
- Covina, CA
National Provider Identifier
1740498591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43438
- Practice address
- 546 West Badillo Street
Suite E
Covina, CA 91722 - Phone
- (626) 974-9382
- Fax
- (626) 737-0665
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 43438 | CA | Primary |
Addresses
Primary practice location
546 West Badillo Street
Suite E
Covina, CA 91722
Mailing address
546 West Badillo Street
Suite E
Covina, CA 91722
Phone (626) 974-9382
Other names 1
- Dr. Yolanda Bulaon Dycoco
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1740498591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 WEST BADILLO STREET",
"address_2": "SUITE E",
"city": "COVINA",
"state": "CA",
"postal_code": "91722",
"telephone_number": "626-974-9382",
"fax_number": "626-737-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 WEST BADILLO STREET",
"address_2": "SUITE E",
"city": "COVINA",
"state": "CA",
"postal_code": "91722",
"telephone_number": "626-974-9382",
"fax_number": "626-737-0665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYCOCO-ESGUERRA",
"first_name": "YOLANDA",
"middle_name": "BULAON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YOLANDA",
"last_name": "DYCOCO",
"middle_name": "BULAON",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.