Organization Active NPI

Sandy Ku DMD, Inc

  • Periodontics
  • Yorba Linda, CA
National Provider Identifier
1811865538
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
SANDY KU DMD, INC
Practice address
17300 Yorba Linda Blvd Ste H
Yorba Linda, CA 92886-3810
Phone
(714) 993-1194
NPI assigned
Oct 24, 2025
Last updated
Jan 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Authorized official

Name
Dr. Sandy Ku, DMDNPI 1083375695
Title
President
Phone
(714) 329-4356

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
Periodontics 1223P0300X NU Primary

Addresses

Primary practice location

17300 Yorba Linda Blvd Ste H
Yorba Linda, CA 92886-3810

Mailing address

17300 Yorba Linda Blvd Ste H
Yorba Linda, CA 92886-3810
Phone (714) 993-1194

National Provider Directory

National Provider Directory

Locations

17300 Yorba Linda Blvd
Ste H
Yorba Linda, CA 92886
Phone (714) 993-1194

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1811865538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 YORBA LINDA BLVD STE H",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863810",
            "telephone_number": "714-993-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 YORBA LINDA BLVD STE H",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863810",
            "telephone_number": "714-993-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY KU DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "KU",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-329-4356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.