Blossom Hill Dental Clinic
NPI 1194991190ActiveOrganization· Dentist· San Jose, CA
Dentist in San Jose, California, registered in NPPES in April 2008, part of Richmond Dental Care. The authorized official on file is Yuri Undorf, DDS, Owner.
Overview
| NPI | 1194991190 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Richmond Dental Care |
| NPI issued | Apr 30, 2008 |
| Last updated in NPPES | Apr 30, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 40751 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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