Active NPI
Nina Yi, M.D.
- Psychiatry Physician
- Seaside, CA
National Provider Identifier
1265474027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 047042
- Practice address
- 3401 Engineer LN
Seaside, CA 93955-7200 - Phone
- (831) 883-3845
- Fax
- (831) 883-3808
- NPI assigned
- Jun 13, 2006
- Last updated
- Sep 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 047042 | GA | Primary |
| Psychiatry Physician | 2084P0800X | 35-064615 | OH |
Addresses
Primary practice location
3401 Engineer LN
Seaside, CA 93955-7200
Mailing address
3401 Engineer LN
Seaside, CA 93955-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047042 | GA | MD | Psychiatry Physician |
| 35-064615 | OH | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1265474027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 ENGINEER LN",
"city": "SEASIDE",
"state": "CA",
"postal_code": "939557200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 ENGINEER LN",
"city": "SEASIDE",
"state": "CA",
"postal_code": "939557200",
"telephone_number": "831-883-3845",
"fax_number": "831-883-3808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YI",
"first_name": "NINA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "047042",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35-064615",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seaside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.