Individual provider Active NPI

Sandy K Yip, MD

  • Allergy & Immunology Physician
  • Henderson, NV
National Provider Identifier
1013070804
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
15664 Issued in NV
Practice address
2821 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4429
Phone
(702) 732-2774
Fax
(702) 737-7495
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 15664 NV Primary

Addresses

Primary practice location

2821 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4429

Mailing address

303 E Main St
Round Rock, TX 78664-5246
Phone (512) 732-2774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190627001658 NV Practitioner - Allergy/Immunology 4082837349 Reassigns benefits to 1 organization
I20210629001630 CA Practitioner - Allergy/Immunology 4082837349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Tufts University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victor a Estrada MD CHTDGroup PAC ID 7517270705, 3 clinicians

Practice addresses (Care Compare)

2821 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-4429
Phone (702) 735-1556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15664NVMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victor a Estrada MD CHTD Allergy & Immunology CurrentSince Jul 1, 2019 Accepting new patients
Aristamd CurrentSince Apr 1, 2021 Accepting new patients
Desert Springs Hospital Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Dignity Health Past Accepting new patients
Victor E. Cohen M.D., CHTD Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Princeton Healthcare System, a New Jersey Non-Profit Corporation Past Accepting new patients

Locations

4755 Nexus Center Dr
San Diego, CA 92121
Phone (858) 750-4777

2821 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 735-1156

4445 S Eastern Ave
Ste A
Las Vegas, NV 89119
Phone (702) 735-1156

303 E Main St
Round Rock, TX 78664

Interoperability endpoints

  • Direct secure messaging: victoraestradamd.sandyyip@127206.advancedmd-direct.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1013070804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MAIN ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645246",
            "telephone_number": "512-732-2774",
            "fax_number": "702-737-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524429",
            "telephone_number": "702-732-2774",
            "fax_number": "702-737-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIP",
        "first_name": "SANDY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NV",
            "license": "15664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.