Individual provider Active NPI

Kalynn Yastro, F.N.P.

  • Family Nurse Practitioner
  • Oakley, CA
National Provider Identifier
1043766678
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004910 Issued in CA
Practice address
2021 Main St
Oakley, CA 94561-3302
Phone
(925) 776-8200
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95040546 CA
Family Nurse Practitioner 363LF0000X 95004910 CA Primary

Addresses

Primary practice location

2021 Main St
Oakley, CA 94561-3302

Mailing address

2021 Main St
Oakley, CA 94561-3302
Phone (925) 776-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180205001572 CA Practitioner - Nurse Practitioner 5890082051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, San Francisco School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians

Practice addresses (Care Compare)

375 89TH St
Daly City, CA 94015-1802
Phone (650) 573-2222

380 90TH St
Daly City, CA 94015-1807
Phone (650) 573-2222

699 Serramonte Blvd
Suite 100
Daly City, CA 94015-4132
Phone (650) 573-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo Current Accepting new patients
County of San Mateo CurrentSince Jan 1, 2018 Accepting new patients
County of San Mateo CurrentSince Jan 1, 2018 Accepting new patients
County of San Mateo CurrentSince Jan 1, 2018 Accepting new patients

Locations

2710 Middlefield Rd
Redwood City, CA 94063
Phone (650) 364-6010

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Interoperability endpoints

  • Direct secure messaging: kyastro19431@smch.direct-ci.com

Organizations & group practices 4

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1043766678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 MAIN ST",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945613302",
            "telephone_number": "925-776-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MAIN ST",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945613302",
            "telephone_number": "925-776-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASTRO",
        "first_name": "KALYNN",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95040546",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakley, CA

Sources for this page

Verify at the official NPI Registry.