Organization Active NPI

Jonathan Y. Hsu, D.D.S., Inc.

  • Dental Clinic/Center
  • Rancho Cordova, CA
National Provider Identifier
1811526544
Registry record updated Apr 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JONATHAN Y. HSU, D.D.S., INC.
Practice address
11121 Sun Center Dr Ste E
Rancho Cordova, CA 95670-6199
Phone
(916) 304-2333
NPI assigned
Apr 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2020

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

Authorized official

Name
Jonathan Hsu, D.D.S.NPI 1114208196
Title
Owner
Phone
(626) 616-5296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11121 Sun Center Dr Ste E
Rancho Cordova, CA 95670-6199

Mailing address

3223 Gosport Way
Rancho Cordova, CA 95670-8018

National Provider Directory

National Provider Directory

Locations

11121 Sun Center Dr
Ste E
Rancho Cordova, CA 95670
Phone (916) 304-2333

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": "1585958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585958400000",
    "number": "1811526544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 GOSPORT WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956708018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 SUN CENTER DR STE E",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706199",
            "telephone_number": "916-304-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN Y. HSU, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-04",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-616-5296",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2020; 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.