Individual provider Active NPI

Hiroshi Yamamoto Valenzuela, DDS

  • Dentist
  • Fresno, CA
National Provider Identifier
1912703307
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
111262 Issued in CA
Practice address
7015 N Chestnut Ave Ste 104
Fresno, CA 93720-0349
Phone
(787) 340-3015
Fax
(559) 475-0389
NPI assigned
Feb 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 111262 CA Primary

Addresses

Primary practice location

7015 N Chestnut Ave Ste 104
Fresno, CA 93720-0349

Mailing address

440 Lyon St
Reedley, CA 93654-8891
Phone (787) 340-3015

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

LicenseStateTypeSpecialty
111262CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Necdet Ozder Dental PC Dentist PastSince Mar 11, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1912703307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 LYON ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936548891",
            "telephone_number": "787-340-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 N CHESTNUT AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200349",
            "telephone_number": "787-340-3015",
            "fax_number": "559-475-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO VALENZUELA",
        "first_name": "HIROSHI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "111262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.