Individual provider Active NPI

Edmund Co Yao, M.D.

  • Internal Medicine Physician
  • Stockton, CA
National Provider Identifier
1245328004
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A84312 Issued in CA
Practice address
3031 W March LN Ste 101
Stockton, CA 95219-6568
Phone
(209) 472-7100
Fax
(209) 472-7108
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A84312 CA Primary

Addresses

Primary practice location

3031 W March LN Ste 101
Stockton, CA 95219-6568

Mailing address

PO Box 691957
Stockton, CA 95269-1957
Phone (209) 472-7100

Other identifiers 1

IdentifierTypeStateIssuer
00A843120MedicaidCA

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
I20041116001246 CA Practitioner - Internal MedicinePractitioner - General Practice 6406810720 Reassigns benefits to 4 organizations
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Practice addresses (Care Compare)

1507 E March LN
Suite C
Stockton, CA 95210-5625
Phone (209) 472-7100

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

537 E Fulton St
Stockton, CA 95204-2227
Phone (209) 466-2066

Hospital & facility affiliations

  • Holistic Approach Inc Home health agency, Stockton, CA, CCN 057426
  • Tri-Valley Home Health Care, Inc Home health agency, Stockton, CA, CCN 059435
  • Sky Healthcare Home Health Services Home health agency, Pleasanton, CA, CCN 559446
  • Emerald Health and Wellness Home health agency, Stockton, CA, CCN 559523
  • Lorian Health Home health agency, Elk Grove, CA, CCN 059322
  • St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084
  • Mark Twain Medical Center Hospital, San Andreas, CA, CCN 051332
  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014
  • San Joaquin General Hospital Hospital, French Camp, CA, CCN 050167
  • Adventist Health Lodi Memorial Hospital, Lodi, CA, CCN 050336

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84312CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Aug 25, 2018 Accepting new patients
Edmund Yao MD Inc Internal Medicine CurrentSince Aug 28, 2009 Accepting new patients
Lotia Corp CurrentSince Nov 19, 2023 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine Past Accepting new patients
Advanced Dermatology & Skin Cancer Specialists PastSince Sep 18, 2017 Accepting new patients

Locations

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

3031 W March Ln
Ste 101
Stockton, CA 95219
Phone (209) 472-7100

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

1507 E March Ln
Ste C
Stockton, CA 95210
Phone (209) 227-5052

1507 E March Ln
Stockton, CA 95210

537 E Fulton St
Stockton, CA 95204
Phone (209) 466-2066

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAHIAA/Endpoint/JAHIAA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
A1 HealthcareFair Oaks, CA, CCN A11554 Hospice W-2 Managing Employee Apr 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 10

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1245328004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691957",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952691957",
            "telephone_number": "209-472-7100",
            "fax_number": "209-472-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W MARCH LN STE 101",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952196568",
            "telephone_number": "209-472-7100",
            "fax_number": "209-472-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAO",
        "first_name": "EDMUND",
        "middle_name": "CO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A843120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.