Organization Active NPI

Amy Yang MD, a Professional Medical Corporation

  • Psychosomatic Medicine Physician
  • Daly City, CA
National Provider Identifier
1215514765
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
Legal business name
AMY YANG MD, A PROFESSIONAL MEDICAL CORPORATION
Practice address
1900 Sullivan Ave FL 8
Daly City, CA 94015-2200
Phone
(650) 991-5400
Fax
(650) 991-5499
NPI assigned
Mar 29, 2021
Last updated
Nov 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Amy Yang, MDNPI 1306048145
Title
Owner
Phone
(415) 562-4770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0015X Primary

Addresses

Primary practice location

1900 Sullivan Ave FL 8
Daly City, CA 94015-2200

Mailing address

3450 Sacramento St Ste 117
San Francisco, CA 94118-1914

National Provider Directory

National Provider Directory

Locations

1900 Sullivan Ave
Fl 8
Daly City, CA 94015
Phone (650) 991-5400

3093 Sacramento St
San Francisco, CA 94115
Phone (415) 562-4770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1215514765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 SACRAMENTO ST STE 117",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SULLIVAN AVE FL 8",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152200",
            "telephone_number": "650-991-5400",
            "fax_number": "650-991-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY YANG MD, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-562-4770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.