JERRY YANG DDS
NPI 1164569372
Dentist - General Practice in Fremont, CA

Active since January 30, 2007PECOS Enrolled
4529 MATTOS DR, FREMONT, CA 94536(510) 797-2611(510) 797-1543 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry Yang Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY YANG DDS (NPI 1164569372) is an individual general practice provider in Fremont, California, licensed in California (35569) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164569372
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJERRY YANGCredential: DDS
Location Address4529 MATTOS DRFremont, CA 94536-6736
Mailing Address4529 Mattos DrFremont, CA 94536-6736 · (510) 797-2611 · Fax (510) 797-1543
Fax(510) 797-1543
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1164569372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 35569
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4529 MATTOS DR, Fremont, CA 94536

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jerry Yang Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4529 MATTOS DR
FREMONT, CA 94536
Dentist
4529 MATTOS DR
FREMONT, CA 94536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Yang's NPI number?

The NPI number for Jerry Yang is 1164569372. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Jerry Yang located?

Jerry Yang practices at 4529 Mattos Dr, Fremont, CA 94536. The listed phone number is (510) 797-2611.

What is Jerry Yang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jerry Yang enrolled in Medicare?

Yes. Jerry Yang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Yang was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.