Individual provider Active NPI

Yunqi Rose Lin, DMD

  • General Practice Dentistry
  • Moreno Valley, CA
National Provider Identifier
1942682711
Registry record updated Dec 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
100139 Issued in CA
Practice address
24430 Alessandro Blvd Ste 104
Moreno Valley, CA 92553-2436
Phone
(951) 601-0350
NPI assigned
Jun 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 100139 CA Primary

Addresses

Primary practice location

24430 Alessandro Blvd Ste 104
Moreno Valley, CA 92553-2436

Mailing address

24430 Alessandro Blvd Ste 104
Moreno Valley, CA 92553-2436
Phone (951) 601-0350

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260205001316 CA Order and Referring Only - DentistPractitioner - Dentist 8820304751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos Rivas D.D.S.,Inc. General Practice PastSince Dec 28, 2025 Accepting new patients
Flores, Sobero & Yabar Dental Corp General Practice PastSince Dec 28, 2025 Accepting new patients

Organizations & group practices 2

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1942682711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24430 ALESSANDRO BLVD STE 104",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925532436",
            "telephone_number": "951-601-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24430 ALESSANDRO BLVD STE 104",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925532436",
            "telephone_number": "951-601-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "YUNQI ROSE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.