Active NPI
Timothy Yao, M.D., Inc.
- Neonatal-Perinatal Medicine Physician
- Modesto, CA
National Provider Identifier
1083897532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- G73286
- Legal business name
- TIMOTHY YAO, M.D., INC.
- Practice address
- 1441 Florida Ave
Modesto, CA 95350-4405 - Phone
- (209) 576-3737
- NPI assigned
- Dec 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy C Yao, M.D.
- Title
- President
- Phone
- (209) 576-3737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | G73286 | CA | Primary |
Addresses
Primary practice location
1441 Florida Ave
Modesto, CA 95350-4405
Mailing address
PO Box 1359
San Clemente, CA 92674-1359
Phone (949) 492-3514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G73286 | Other | CA | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196899200000",
"number": "1083897532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1359",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926741359",
"telephone_number": "949-492-3514",
"fax_number": "949-366-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 FLORIDA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504405",
"telephone_number": "209-576-3737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMOTHY YAO, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-06",
"last_updated": "2007-12-06",
"status": "A",
"authorized_official_last_name": "YAO",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-576-3737",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "G73286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G73286",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.