Individual provider Active NPI

Kathleen Ying Kiu Yau, D.D.S.

  • General Practice Dentistry
  • Palo Alto, CA
National Provider Identifier
1740580109
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59525 Issued in CA
Practice address
778 Encina Grande Dr
Palo Alto, CA 94306-3146
Phone
(650) 430-3493
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59525 CA Primary

Addresses

Primary practice location

778 Encina Grande Dr
Palo Alto, CA 94306-3146

Mailing address

778 Encina Grande Dr
Palo Alto, CA 94306-3146
Phone (650) 430-3493

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160422001178 CA Order and Referring Only - DentistPractitioner - Dentist 7517266786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1740580109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 ENCINA GRANDE DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943063146",
            "telephone_number": "650-430-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 ENCINA GRANDE DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943063146",
            "telephone_number": "650-430-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAU",
        "first_name": "KATHLEEN",
        "middle_name": "YING KIU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.