Steven T Yedlin, M.D.

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

G60214 Issued in CA

Practice address

3100 Telegraph Ave
2ND Floor Bayside Medical Group
Oakland, CA 94609-3210

Phone

(510) 452-5231

Fax

(510) 889-8392

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204416000000",
    "number": "1114941598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6056 OCEAN VIEW DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181845",
            "telephone_number": "510-547-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TELEGRAPH AVE",
            "address_2": "2ND FLOOR BAYSIDE MEDICAL GROUP",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093210",
            "telephone_number": "510-452-5231",
            "fax_number": "510-889-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEDLIN",
        "first_name": "STEVEN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "G60214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ye
• Dayna A. Yearwood, CNM
• Todd Yeates, MD
• Kwaku Yeboah
• Poornima Yechoor, M.D.
• Celina S Yee-Izon
• Archie Yee, MD
• Jennie Yee
• Lisa Anne Marie Yee, OT
• Lisa Mae Wong Yee

• Pediatric Surgery Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Pediatric Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2008; 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.