Active NPI
Lan Yang II, DMD
- General Practice Dentistry
- Fontana, CA
National Provider Identifier
1962539403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 53299
- Practice address
- 9193 Sierra Ave Ste D
Fontana, CA 92335-4776 - Phone
- (909) 822-2226
- Fax
- (909) 822-2384
- NPI assigned
- Feb 28, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 53299 | CA | Primary |
Addresses
Primary practice location
9193 Sierra Ave Ste D
Fontana, CA 92335-4776
Mailing address
1045 E Valley Blvd
#A209
San Gabriel, CA 91776-3661
Phone (626) 757-3870
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 |
|---|---|---|---|
| 53299 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lubczuk Professional Dental Corporation | General Practice | Past | Accepting new patients |
| Lan Yang D.D.S.Inc | General Practice | Past | 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.
-
- General Practice Dentistry
- San Gabriel, CA
- NPI 1932325800
-
- General Practice Dentistry
- Fontana, CA
- NPI 1205051000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962539403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 E VALLEY BLVD",
"address_2": "#A209",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917763661",
"telephone_number": "626-757-3870",
"fax_number": "626-572-7238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9193 SIERRA AVE STE D",
"city": "FONTANA",
"state": "CA",
"postal_code": "923354776",
"telephone_number": "909-822-2226",
"fax_number": "909-822-2384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "LAN",
"name_suffix": "II",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "53299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.