DOCTOR YU DENTAL CORPORATION
NPI 1205795945
Dentist in San Luis Obispo, CA

Active since January 19, 2026
805 AEROVISTA PL STE 106, SAN LUIS OBISPO, CA 93401(805) 544-7804 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Doctor Yu Dental Corporation NPPES

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

DOCTOR YU DENTAL CORPORATION (NPI 1205795945) is a healthcare organization registered as a dentist in San Luis Obispo, California and active in the NPI registry since January 2026. The organization lists Jerry Yu, Dds, as its authorized official.

NPPES Registry Identity

NPI1205795945
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDOCTOR YU DENTAL CORPORATION
Location Address805 AEROVISTA PL STE 106San Luis Obispo, CA 93401-7921
Mailing Address805 Aerovista Pl Ste 106San Luis Obispo, CA 93401-7921 · (805) 544-7804
Organization SubpartNo
Authorized OfficialJerry YuDds · (805) 598-0519
Enumeration DateJanuary 19, 2026
NPPES CertifiedJanuary 19, 2026
✔ NPI 1205795945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
805 AEROVISTA PL STE 106, San Luis Obispo, CA 93401

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Doctor Yu Dental Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Doctor Yu Dental Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dentist
NPI 1821318577
1461 W GRAND AVE
Grover Beach, CA 93433
(805) 270-4259
✔ PECOS8.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Doctor Yu Dental Corporation's NPI number?

The NPI number for Doctor Yu Dental Corporation is 1205795945. It was assigned to this organization in the NPPES registry on January 19, 2026.

Where is Doctor Yu Dental Corporation located?

Doctor Yu Dental Corporation is located at 805 Aerovista Pl Ste 106, San Luis Obispo, CA 93401. The listed phone number is (805) 544-7804.

What is Doctor Yu Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Doctor Yu Dental Corporation enrolled in Medicare?

Yes. Doctor Yu Dental Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Doctor Yu Dental Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Doctor Yu Dental Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Doctor Yu Dental Corporation was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.