Thomas Yaw, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

54705 Issued in CA

Practice address

296 Cottage Ave
Manteca, CA 95336-4942

Phone

(209) 239-2901

NPI assigned

Aug 9, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, SD2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: tyaw@rwicl-sd.direct.office.nextgen.com

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.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AZ

  Medicare reassignment

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1205351459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1386 WAWONA ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953376705",
            "telephone_number": "209-239-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 COTTAGE AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364942",
            "telephone_number": "209-239-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAW",
        "first_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "54705",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Ryo Yamada, M.D.
• Yer Moua Yang, PHARM. D
• Yi Yang, DDS
• Renisa Yates
• Jeffrey Brian Yaver, P.T.
• Randall Kelvin Yee, M.D.
• Inyoung Stella Yeo, PA
• Evet Yohana, RADT-I
• Yosemite Bone and Joint, Inc.
• Yosemite Inpatient Services, a Medical Corporation

• Physician Assistant in Manteca, CA
• Providers in Manteca, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.