Individual provider Active NPI

Quinn Yost, DDS

  • Pediatric Dentistry
  • Hermosa Beach, CA
National Provider Identifier
1790130821
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DDS102682 Issued in CA
Practice address
1115 Aviation Blvd
Hermosa Beach, CA 90254-4027
Phone
(424) 254-0705
Fax
(424) 254-0711
NPI assigned
Apr 26, 2016
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60656563 WA
Dentist 122300000X DDS102682 CA
Pediatric Dentistry 1223P0221X DDS102682 CA Primary

Addresses

Primary practice location

1115 Aviation Blvd
Hermosa Beach, CA 90254-4027

Mailing address

1115 Aviation Blvd
Hermosa Beach, CA 90254-4027
Phone (424) 254-0705

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
I20240524000480 CA Order and Referring Only - DentistPractitioner - Dentist 2668814435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS102682CAMDDentist
60656563WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary R Pham DDS Dental Corporation Pediatric Dentistry CurrentSince Nov 28, 2021 Accepting new patients
Quinn Yost DDS Inc Pediatric Dentistry CurrentSince May 16, 2022 Accepting new patients
Mary Regina Pham D.D.S., M.S. Dental Corporation Pediatric Dentistry PastSince Nov 28, 2021 Accepting new patients

Locations

1115 Aviation Blvd
Hermosa Beach, CA 90254
Phone (424) 254-0705

1041 E Yorba Linda Blvd
Ste 206
Placentia, CA 92870
Phone (714) 528-8252

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1790130821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 AVIATION BLVD",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544027",
            "telephone_number": "424-254-0705",
            "fax_number": "424-254-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 AVIATION BLVD",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544027",
            "telephone_number": "424-254-0705",
            "fax_number": "424-254-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOST",
        "first_name": "QUINN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60656563",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS102682",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS102682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

Verify at the official NPI Registry.