JENNIFER MAYUMI TAKESONO YU DDS NPI 1770622821

NPI Information

NPI: 1770622821
Provider Name: JENNIFER MAYUMI TAKESONO YU, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1 PARKER AVE
SAN FRANCISCO, CA
ZIP 94118
Phone: (415) 668-3500
Get Directions

Jennifer Mayumi Takesono Yu, DDS is a pediatric dentistry dentist in San Francisco, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Jennifer Mayumi Takesono Yu, DDS NPI is 1770622821. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 PARKER AVE
SAN FRANCISCO, CA
ZIP 94118-614
Phone: (415) 668-3500

The enumeration date for this NPI number is 2/5/2007 and was last updated on 10/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	9145	COLORADO	No
2	1223P0221X	Dentist	Pediatric Dentistry	2034	HAWAII	No
3	1223P0221X	Dentist	Pediatric Dentistry	051702-01	NEW YORK	No
4	1223P0221X	Dentist	Pediatric Dentistry	57786	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04474562	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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