Individual provider Active NPI

Yan Yan, M.D.

  • Allergy & Immunology Physician
  • Burlingame, CA
National Provider Identifier
1154663771
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A141993 Issued in CA
Practice address
1860 El Camino Real Ste 50
Burlingame, CA 94010-3100
Phone
(650) 651-3668
Fax
(650) 948-4993
NPI assigned
Mar 21, 2013
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A141993 CA Primary

Addresses

Primary practice location

1860 El Camino Real Ste 50
Burlingame, CA 94010-3100

Mailing address

1860 El Camino Real Ste 50
Burlingame, CA 94010-3100
Phone (650) 651-3668

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
I20191018002106 CA Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 2163753302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North East Medical ServicesGroup PAC ID 4284520529, 143 clinicians

Practice addresses (Care Compare)

1520 Stockton St
San Francisco, CA 94133-3354
Phone (415) 391-9686

1860 El Camino Real
Suite 50
Burlingame, CA 94010-3100
Phone (650) 651-3668

82 Leland Ave
San Francisco, CA 94134-2804
Phone (415) 391-9688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A141993CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beautiful Life Wellness Allergy & Immunology CurrentSince Mar 1, 2023 Accepting new patients
North East Medical Services CurrentSince Jan 1, 2021 Accepting new patients
North East Medical Services Current Accepting new patients
North East Medical Services CurrentSince Jan 1, 2021 Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sequoia Health Services Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

1860 El Camino Real
Ste 50
Burlingame, CA 94010
Phone (650) 651-3668

1850 Sullivan Ave
Ste 488
Daly City, CA 94015
Phone (415) 841-3833

211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923

1518 Noriega St
Ste 200
San Francisco, CA 94122
Phone (415) 566-7556

1520 Stockton St
San Francisco, CA 94133

82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688

1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686

Interoperability endpoints

  • Direct secure messaging: belloallergy.yanyan@154569.advancedmd-direct.com
  • Direct secure messaging: yyan18764@northeastmedicalservicesnems.direct-ci.com
  • Direct secure messaging: yyan457672@hisp.ehr.sutterhealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1154663771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL STE 50",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103100",
            "telephone_number": "650-651-3668",
            "fax_number": "650-948-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL STE 50",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103100",
            "telephone_number": "650-651-3668",
            "fax_number": "650-948-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "YAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A141993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.