Active NPI
Tony Yang D.D.S., M.D. Corp.
- Oral and Maxillofacial Surgery Clinic/Center
- Santa Ana, CA
National Provider Identifier
1790913127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- License
- OMS 84
- Legal business name
- TONY YANG D.D.S., M.D. CORP.
- Practice address
- 801 N Tustin Ave Ste 502
Santa Ana, CA 92705-3609 - Phone
- (714) 568-0188
- NPI assigned
- Jun 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tony Yang, D.D.S., M.D.
- Title
- Ceo
- Phone
- (714) 568-0188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | OMS 84 | CA | Primary |
Addresses
Primary practice location
801 N Tustin Ave Ste 502
Santa Ana, CA 92705-3609
Mailing address
801 N. Tustin Ave. Suite 502
Santa Ana, CA 92705
Phone (714) 568-0188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700044237 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245801600000",
"number": "1790913127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N. TUSTIN AVE. SUITE 502",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92705",
"telephone_number": "714-568-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N TUSTIN AVE STE 502",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053609",
"telephone_number": "714-568-0188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TONY YANG D.D.S., M.D. CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-24",
"last_updated": "2009-06-24",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-568-0188",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S., M.D."
},
"taxonomies": [
{
"code": "261QS0112X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "OMS 84",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700044237",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.