Fangyu Cathy Ai, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57331 Issued in CA

Practice address

3451 E. 12TH St.
1St Floor
Oakland, CA 94601-3425

Phone

(510) 535-3302

Fax

(510) 536-9453

NPI assigned

Nov 29, 2006

Last updated

Feb 8, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1861569402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 22210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946232210",
            "telephone_number": "510-535-4000",
            "fax_number": "510-535-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 E. 12TH ST.",
            "address_2": "1ST FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946013425",
            "telephone_number": "510-535-3302",
            "fax_number": "510-536-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AI",
        "first_name": "FANGYU",
        "middle_name": "CATHY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12306",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine L Ahoy, CNS, RN, PHN
• Rachel Ahrenstorff
• Anita T. Ahuja, MD
• Neha Kakkar Ahuja, MD
• Rahul Ahuja, DO
• Andrea Lee Aidells, LCSW & MFT
• AIDS Healthcare Foundation (AHF Pharmacy)
• AIDS Healthcare Foundation (Ahf)
• AIDS Healthcare Foundation (Ahf Pharmacy)
• AIDS Project of the East Bay

• General Practice Dentistry in Oakland, CA
• Providers in Oakland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.