Dominique B Yang-Kim, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

XXXX Issued in CA

Practice address

5253 Prue Rd Ste 315C
San Antonio, TX 78240-1758

Phone

(210) 750-8100

NPI assigned

Jun 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dominique Beverly Yang Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Diagnostic Outpatient Imaging Partnership LTD

  • Diagnostic Radiology Physician
  • El Paso, TX
  • NPI 1326082603
  NPD
• LHCG Cxvii, LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1518482181
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1225299688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 FAIRLAND ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304434",
            "telephone_number": "626-394-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5253 PRUE RD STE 315C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401758",
            "telephone_number": "210-750-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG-KIM",
        "first_name": "DOMINIQUE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "XXXX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15019054",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "YANG",
            "middle_name": "BEVERLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Celinda Leanne Yanez
• Diana Yanez
• Hilda Yanez, DDS
• Rosario Yanez
• Vanessa Monique Yanez, OTR/L
• Crystal Elaine Yang
• Daniel Yang
• Dong Yang
• Eric Yota Yang, M.D., PH.D.,R.P.V.I.
• Grace Kui Hea Yang, DDS

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.