Active NPI
Nelson Bruce Yager, MD
- Pediatrics Physician
- Hollister, CA
National Provider Identifier
1043340920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G53414
- Practice address
- 890 Sunset Dr Ste B2
Hollister, CA 95023-5641 - Phone
- (831) 636-8888
- Fax
- (831) 636-8805
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G53414 | CA | Primary |
Addresses
Primary practice location
890 Sunset Dr Ste B2
Hollister, CA 95023-5641
Mailing address
890 Sunset Dr Ste B2
Hollister, CA 95023-5641
Phone (831) 636-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G53414 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1043340920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 SUNSET DR STE B2",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950235641",
"telephone_number": "831-636-8888",
"fax_number": "831-636-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 SUNSET DR STE B2",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950235641",
"telephone_number": "831-636-8888",
"fax_number": "831-636-8805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAGER",
"first_name": "NELSON",
"middle_name": "BRUCE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G53414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollister, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.