DR. MARVIN EIJI OTA D.D.S.
NPI 1871675165
Dentist - General Practice in Yucaipa, CA

Q: What is Marvin Ota's NPI number?

The NPI number for Marvin Ota is 1871675165. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Marvin Ota's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marvin Ota was last updated on July 9, 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.

Active since October 19, 2006

11834 BRYANT ST STE 103, YUCAIPA, CA 92399(909) 797-8090(909) 797-8090 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Marvin Eiji Ota D.d.s. NPPES

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

DR. MARVIN EIJI OTA D.D.S. (NPI 1871675165) is an individual general practice provider in Yucaipa, California, licensed in California (28214) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1871675165

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARVIN EIJI OTACredential: D.D.S.

Location Address11834 BRYANT ST STE 103Yucaipa, CA 92399-3848

Mailing Address11834 Bryant St Ste 103Yucaipa, CA 92399-3848 · (909) 797-8090 · Fax (909) 797-8090

Phone(909) 797-8090

Fax(909) 797-8090

Sole ProprietorYes

Enumeration DateOctober 19, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1871675165 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 · 28214

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.

11834 BRYANT ST STE 103, Yucaipa, CA 92399

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Other Identifiers 1

MedicaidB28214-01CA

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 Marvin Ota's NPI number?

The NPI number for Marvin Ota is 1871675165. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Marvin Ota located?

Marvin Ota practices at 11834 Bryant St Ste 103, Yucaipa, CA 92399. The listed phone number is (909) 797-8090.

What is Marvin Ota's specialty?

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

When was this NPI record last updated?

The NPPES record for Marvin Ota was last updated on July 9, 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.