Individual provider Active NPI

Edwin Yamoah

  • Anesthesiology Physician
  • Clovis, CA
National Provider Identifier
1073757738
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A114280 Issued in CA
Practice address
2755 Herndon Ave
Clovis, CA 93611-6800
Phone
(559) 324-4000
NPI assigned
Apr 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X A114280 CA Primary

Addresses

Primary practice location

2755 Herndon Ave
Clovis, CA 93611-6800

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131106001471 CA Practitioner - Anesthesiology 2365677903 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians
Pacific Valley Medical GroupGroup PAC ID 3577465368, 104 clinicians

Practice addresses (Care Compare)

15 E Audubon Dr
Fresno, CA 93720-1542
Phone (559) 433-8000

1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444

1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

300 W Hungtington Dr
Arcadia, CA 91007-3402
Phone (626) 898-8000

45 E River Park PL W
Fresno, CA 93720-1565
Phone (559) 320-0530

Hospital & facility affiliations

  • Keck Hospital of Usc Hospital, Los Angeles, CA, CCN 050696
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Usc Arcadia Hospital Hospital, Arcadia, CA, CCN 050238
  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114280CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group Current Accepting new patients
Usc Care Medical Group, Inc Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients
Pacific Valley Medical Group Anesthesiology CurrentSince Apr 21, 2022 Accepting new patients
Farnad Medical Corporation Anesthesiology CurrentSince May 26, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Community Foundation Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jul 1, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 21, 2023 Accepting new patients
Community Health Partners CurrentSince Aug 14, 2021 Accepting new patients
Community Foundation Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 21, 2023 Accepting new patients
Community Anesthesia Providers Medical Group Inc Anesthesiology Past Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

614 W Duarte Rd
Arcadia, CA 91007
Phone (626) 445-4714

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

15503 Ventura Blvd
Ste 200
Encino, CA 91436
Phone (818) 788-7288

15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

7370 N Palm Ave
Ste 101
Fresno, CA 93711
Phone (559) 228-4222

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7257 N Fresno St
Fresno, CA 93720
Phone (559) 447-4050

1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611

435 Arden Ave
Ste 520
Glendale, CA 91203
Phone (818) 247-5440

3500 Barranca Pkwy
Ste 300
Irvine, CA 92606
Phone (949) 654-5433

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

5757 Wilshire Blvd
Ste PR2
Los Angeles, CA 90036
Phone (310) 285-9612

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

39 Congress St
Ste 310
Pasadena, CA 91105
Phone (526) 795-0282

333 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 440-9161

2615 E Washington Blvd
Pasadena, CA 91107
Phone (626) 269-2601

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1073757738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 HERNDON AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116800",
            "telephone_number": "559-324-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMOAH",
        "first_name": "EDWIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-26",
        "last_updated": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A114280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.