Organization Active NPI

Martin B. Yu D.D.S. Inc.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1811264831
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57018 Issued in CA
Legal business name
MARTIN B. YU D.D.S. INC.
Practice address
1001 S Vermont Ave
Ste 109
Los Angeles, CA 90006-2756
Phone
(213) 384-9800
Fax
(213) 384-3884
NPI assigned
Nov 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Dr. Martin Yu, D.D.S.
Title
President
Phone
(213) 384-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 57018 CA Primary

Addresses

Primary practice location

1001 S Vermont Ave
Ste 109
Los Angeles, CA 90006-2756

Mailing address

1001 S Vermont Ave
Ste 109
Los Angeles, CA 90006-2756
Phone (213) 384-9800

National Provider Directory

National Provider Directory

Locations

1001 S Vermont Ave
Ste 109
Los Angeles, CA 90006
Phone (213) 384-9800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1811264831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S VERMONT AVE",
            "address_2": "STE 109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062756",
            "telephone_number": "213-384-9800",
            "fax_number": "213-384-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S VERMONT AVE",
            "address_2": "STE 109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062756",
            "telephone_number": "213-384-9800",
            "fax_number": "213-384-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN B. YU D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-384-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.