NPIMap

Organization Active NPI

Yiqi Medical Group

  • Medical Specialty Clinic/Center
  • San Carlos, CA
National Provider Identifier
1033928122
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
YIQI MEDICAL GROUP
Practice address
555 Old County Rd Ste 100
San Carlos, CA 94070-2517
Phone
(415) 595-4829
NPI assigned
Jan 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Dr. Amy Wang, DTCMNPI 1609683135
Title
Ceo
Phone
(650) 788-9818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Medical Specialty Clinic/Center 261QM2500X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

555 Old County Rd Ste 100
San Carlos, CA 94070-2517

Mailing address

555 Old County Rd Ste 100
San Carlos, CA 94070-2517
Phone (650) 788-9818

National Provider Directory

National Provider Directory

Locations

555 Old County Rd
Ste 100
San Carlos, CA 94070
Phone (415) 595-4829

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1033928122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 OLD COUNTY RD STE 100",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702517",
            "telephone_number": "650-788-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 OLD COUNTY RD STE 100",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702517",
            "telephone_number": "415-595-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YIQI MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-788-9818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DTCM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.