Active NPI
Michael Yeboah, FNP-BC
- Family Nurse Practitioner
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95014404
- Practice address
- 3701 J St Ste 201
Sacramento, CA 95816-5542 - Phone
- (916) 454-2345
- NPI assigned
- Apr 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95014404 | CA | Primary |
Addresses
Primary practice location
3701 J St Ste 201
Sacramento, CA 95816-5542
Mailing address
8233 E Stockton Blvd Ste D
Sacramento, CA 95828-8203
Phone (916) 737-5555
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95014404 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elica Health Centers | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Elica Health Centers | Current | Accepting new patients | |
| Elica Health Centers | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients |
Locations
8233 E Stockton Blvd
Ste D
Sacramento, CA 95828
Phone (916) 236-4700
1820 J St
Sacramento, CA 95811
Phone (916) 550-5481
777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690
1750 Wright St
Ste 1
Sacramento, CA 95825
1860 Howe Ave
Ste 440
Sacramento, CA 95825
3701 J St
Ste 201
Sacramento, CA 95816
155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981
1276 Halyard Dr
West Sacramento, CA 95691
Interoperability endpoints
- https://api.platform.athenahealth.com/15691/brand/4/csg/1/fhir/r4
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.
-
- Federally Qualified Health Center (FQHC)
- West Sacramento, CA
- NPI 1548425853
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1124112933
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1093974065
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1760293351
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1114682689
-
- Federally Qualified Health Center (FQHC)
- Citrus Heights, CA
- NPI 1215350848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1285253559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8233 E STOCKTON BLVD STE D",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958288203",
"telephone_number": "916-737-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 J ST STE 201",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165542",
"telephone_number": "916-454-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEBOAH",
"first_name": "MICHAEL",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-15",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95014404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.