DR. BERTINA CARMEN YUEN (NPI# 1215133061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215133061 |
| Entity Type | Individual |
| Full Name | DR. BERTINA CARMEN YUEN |
| Credential | D.M.D., MMSC |
| Practice Address |
247 N Lake Ave Pasadena CA 91101-1828 |
| Mailing Address |
1927 Terra Ln Arcadia CA 91007-8140 |
| Practice Telephone | 6264052922 |
| Mailing Telephone | 6179663713 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2009-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
53116 | CA | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
DN-21454-1 | MA | Dental Providers |
| Street Address |
247 N LAKE AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417381799 | American Dental Implant Center | Dentist | 3007 Huntington Dr Ste 201, Pasadena, CA 91107-5522 | 2013-08-22 |
| 1275787210 | Mak and Kleiger, D.d.s. | Dentist | 959 E Walnut St Ste 216, Pasadena, CA 91106-5362 | 2008-11-04 |
| 1508088675 | David R. Wyndhamsmith, A Professional Dental Corporation | Dentist | 1092 E Green St, Pasadena, CA 91106-2506 | 2007-05-02 |
| 1497972434 | Joel B. Henriod | Dentist | 72 N Hill Ave, Pasadena, CA 91106-1905 | 2007-04-19 |
| 1942328604 | Krikor Simonian | Dentist | 1156 E Green St, Suite 102, Pasadena, CA 91106-2515 | 2007-03-27 |
| 1386706828 | Anoushka Tandon | Dentist | 5106 Fairmont Parkway, Pasadena, TX 77505 | 2006-12-14 |
| 1669484689 | Charles Martin Brown | Dentist | 4010 Vista Rd Ste C, Pasadena, TX 77504-2140 | 2006-08-12 |
| 1134124761 | Allan Howard Charles | Dentist | 747 Locust St Ste 200, Ste 204, Pasadena, CA 91101-4457 | 2005-06-20 |
| 1689946980 | Miller & Henriod Dental Partnership | Dentist | 72 N Hill Ave, Pasadena, CA 91106-1905 | 2012-02-01 |
| 1083985741 | K. Moldenhauer | Dentist | 175 S El Molino Ave, Suite #7, Pasadena, CA 91101-2564 | 2012-01-25 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.