Organization Active NPI

Yanko a Yankov MD PA

  • Neurology Physician
  • Bulverde, TX
National Provider Identifier
1003002239
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L2764 Issued in TX
Legal business name
YANKO A YANKOV MD PA
Practice address
2395 Bulverde Rd
Suite 101-B
Bulverde, TX 78163-4571
Phone
(830) 980-1761
Fax
(830) 980-1746
NPI assigned
Sep 21, 2007
Last updated
Mar 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Yanko A Yankov, MDNPI 1801856422
Title
Owner
Phone
(830) 980-1761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X L2764 TX
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X L2764 TX Primary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X L2764 TX

Addresses

Primary practice location

2395 Bulverde Rd
Suite 101-B
Bulverde, TX 78163-4571

Mailing address

PO Box 592827
San Antonio, TX 78259-0191
Phone (830) 980-1761

Other identifiers 1

IdentifierTypeStateIssuer
1538332-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

2395 Bulverde Rd
#101B
Bulverde, TX 78163
Phone (830) 980-1761

2395 Bulverde Rd
Ste 101B
Bulverde, TX 78163
Phone (830) 980-1761

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1003002239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592827",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590191",
            "telephone_number": "830-980-1761",
            "fax_number": "830-980-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 BULVERDE RD",
            "address_2": "SUITE 101-B",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781634571",
            "telephone_number": "830-980-1761",
            "fax_number": "830-980-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANKO A YANKOV MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "YANKOV",
        "authorized_official_first_name": "YANKO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-980-1761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L2764",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L2764",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TX",
            "license": "L2764",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538332-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bulverde, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.