Individual provider Active NPI

Michael C Yang, MD

  • Pain Medicine (Anesthesiology) Physician
  • El Dorado Hills, CA
National Provider Identifier
1215990445
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A837802 Issued in CA
Practice address
1208 Suncast LN
El Dorado Hills, CA 95762-9631
Phone
(530) 672-1311
Fax
(530) 672-1335
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A837802 CA Primary

Addresses

Primary practice location

1208 Suncast LN
El Dorado Hills, CA 95762-9631

Mailing address

1208 Suncast LN
El Dorado Hills, CA 95762-9631
Phone (530) 672-1311

Other identifiers 1

IdentifierTypeStateIssuer
00A837800MedicaidCA

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
I20040219000893 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 4486549284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Dorado Pain Management CenterGroup PAC ID 2365529062, 2 clinicians

Practice addresses (Care Compare)

1208 Suncast LN
El Dorado Hills, CA 95762-9631
Phone (530) 672-1311

Hospital & facility affiliations

  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254

Merit-based Incentive Payment System (MIPS)

Final score
63.72 of 100Reported as individual
Quality
100
Improvement activities
0
Cost
72.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A837802CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter North Medical Foundation PastSince Jan 1, 2008 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1215990445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 SUNCAST LN",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629631",
            "telephone_number": "530-672-1311",
            "fax_number": "530-672-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 SUNCAST LN",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629631",
            "telephone_number": "530-672-1311",
            "fax_number": "530-672-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A837802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A837800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

Verify at the official NPI Registry.