Active NPI
Yvetta Janku
- Dentist
- National City, CA
National Provider Identifier
1912112442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 48469
- Practice address
- 1539 E Plaza Blvd
Ste. #a
National City, CA 91950-3641 - Phone
- (619) 474-7900
- Fax
- (619) 474-4653
- NPI assigned
- May 10, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 48469 | CA | Primary |
Addresses
Primary practice location
1539 E Plaza Blvd
Ste. #a
National City, CA 91950-3641
Mailing address
42064 Paseo Sonrisa del Sol
Temecula, CA 92591-1950
Phone (619) 474-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D48469 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48469 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Dental Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- National City, CA
- NPI 1184770596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1912112442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42064 PASEO SONRISA DEL SOL",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925911950",
"telephone_number": "619-474-7900",
"fax_number": "714-571-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1539 E PLAZA BLVD",
"address_2": "STE. #A",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919503641",
"telephone_number": "619-474-7900",
"fax_number": "619-474-4653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANKU",
"first_name": "YVETTA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "48469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D48469",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in National City, CA
- James Obrasky MD Inc
- Hayden Seth James, IDC
- Julie Kristen Jamison, N.P.
- Jamshid a Kashani Inc (Town & Country Dental Office)
- Jane S. Galang DDS Inc
- Jeramel Geronimo Jardin, DDS
- Jay N. Pandhi, M.D., a Professional Corporation
- Jerome Robinson MD a Medical Corp (Southern California Medical Clinic)
- Janice Jimenez, RDH
- JJ&R Emergency Medical Group of California, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.