NPIMap

Organization Active NPI

Walden Yu, DDS, Apc

  • Preferred Provider Organization
  • Culver City, CA
National Provider Identifier
1972796571
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
D45067 Issued in CA
Legal business name
WALDEN YU, DDS, APC
Practice address
11491 Jefferson Blvd
Culver City, CA 90230-6115
Phone
(310) 397-1806
Fax
(310) 397-1808
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Dr. Walden Y Yu, DDSNPI 1154333672
Title
Owner
Phone
(310) 397-1806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X D45067 CA Primary

Addresses

Primary practice location

11491 Jefferson Blvd
Culver City, CA 90230-6115

Mailing address

11491 Jefferson Blvd
Culver City, CA 90230-6115
Phone (310) 397-1806

National Provider Directory

National Provider Directory

Locations

11491 Jefferson Blvd
Culver City, CA 90230
Phone (310) 397-1806

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1972796571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11491 JEFFERSON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306115",
            "telephone_number": "310-397-1806",
            "fax_number": "310-397-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11491 JEFFERSON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306115",
            "telephone_number": "310-397-1806",
            "fax_number": "310-397-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDEN YU, DDS, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "WALDEN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-397-1806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "D45067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.