Carl Yu, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

108852 Issued in CA

Practice address

4160 Highland Ave Ste J
Highland, CA 92346-2750

Phone

(909) 281-8200

NPI assigned

May 24, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Von Westernhagen Dental Corporation

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1033847520
  NPD (past)

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1790477958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N HILL ST APT 325",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121983",
            "telephone_number": "323-274-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 HIGHLAND AVE STE J",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923462750",
            "telephone_number": "909-281-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9610 Sierra Ave Ste 2-4",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923352452",
            "country_code": "US",
            "telephone_number": "909-219-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "CARL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Yi
• Min Jung Yoon, DDS
• Deshaun Young
• Michelle Lyn Young, REGISTERED DIETITIAN
• Ashley H Yu, PHARMD
• Audrey Chu Yun, D.O.
• Vincent Zamarripa
• Bhavna Zaroo
• John F. Zdrojewski, M.D.
• Lida Zhen, M.D.

• Dentist in Highland, CA
• Providers in Highland, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.