Active NPI
Yajur Verma
- General Practice Dentistry
- Stockton, CA
National Provider Identifier
1972416824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 113875
- Practice address
- 1545 Saint Marks PLZ Ste 1
Stockton, CA 95207-6411 - Phone
- (209) 957-1244
- NPI assigned
- Sep 23, 2026
- Last updated
- Sep 23, 2026
- Sex
- Male
- 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 | 113875 | CA | Primary |
Addresses
Primary practice location
1545 Saint Marks PLZ Ste 1
Stockton, CA 95207-6411
Mailing address
9444 Harbour Point Dr Apt 179
Elk Grove, CA 95758-3736
Phone (530) 360-8666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1972416824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9444 HARBOUR POINT DR APT 179",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957583736",
"telephone_number": "530-360-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 SAINT MARKS PLZ STE 1",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076411",
"telephone_number": "209-957-1244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERMA",
"first_name": "YAJUR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "113875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.