Individual provider Active NPI

Elizabeth Yee

  • Dentist
  • Daly City, CA
National Provider Identifier
1790435055
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108511 Issued in CA
Practice address
341 Westlake Ctr
Daly City, CA 94015-1441
Phone
(650) 755-8650
NPI assigned
Mar 28, 2022
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 108511 CA Primary

Addresses

Primary practice location

341 Westlake Ctr
Daly City, CA 94015-1441

Mailing address

662 15TH Ave
San Francisco, CA 94118-3505

Other practice location 1

4757 Hoen Ave
Santa Rosa, CA 95405-7862
Phone (707) 575-9595

Other practice location 2

923 N Milpas St
Santa Barbara, CA 93103-2331
Phone (805) 884-1998

Other practice location 3

852 Reichert Ave
Novato, CA 94945-4124
Phone (415) 891-2312

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

State licenses

LicenseStateTypeSpecialty
108511CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Neighborhood Clinics PastSince Apr 1, 2022 Accepting new patients
Santa Barbara Neighborhood Clinics PastSince Apr 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1790435055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 15TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WESTLAKE CTR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151441",
            "telephone_number": "650-755-8650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4757 Hoen Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954057862",
            "country_code": "US",
            "telephone_number": "707-575-9595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "923 N Milpas St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931032331",
            "country_code": "US",
            "telephone_number": "805-884-1998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "852 Reichert Ave",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949454124",
            "country_code": "US",
            "telephone_number": "415-891-2312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEE",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.