Individual provider Active NPI

Yi Ching Chiang, DO

  • Anesthesiology Physician
  • Daly City, CA
National Provider Identifier
1295830958
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A8819 Issued in CA
Practice address
901 Campus Drive
Suite 102
Daly City, CA 94015-4930
Phone
(650) 991-2000
Fax
(650) 755-8638
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20A8819 CA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 20A8819 CA
Pain Medicine Physician 208VP0000X 20A8819 CA

Addresses

Primary practice location

901 Campus Drive
Suite 102
Daly City, CA 94015-4930

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other identifiers 1

IdentifierTypeStateIssuer
00AX88190MedicaidCA

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
I20040611001009 CA Practitioner - AnesthesiologyPractitioner - Pain Management 3072596790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Eagle Anesthesia Inc a Professional Corporation 24 clinicians

Practice addresses (Care Compare)

3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone (415) 642-0707

Merit-based Incentive Payment System (MIPS)

Final score
82.3 of 100Reported as group
Quality
59.22
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8819CAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Eagle Anesthesia Inc a Professional Corporation Anesthesiology CurrentSince Mar 15, 2009 Accepting new patients
Soma Orthopedics Medical Group Inc Pain Medicine CurrentSince Apr 29, 2012 Accepting new patients

Locations

901 Campus Dr
Ste 102
Daly City, CA 94015
Phone (650) 991-2000

1160 Post St
San Francisco, CA 94109
Phone (415) 440-1100

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

2299 Post St
San Francisco, CA 94115
Phone (415) 923-3770

1160 Post St
Ste 102
San Francisco, CA 94109

1580 Valencia St
Ste 703
San Francisco, CA 94110
Phone (415) 642-0707

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1295830958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DRIVE",
            "address_2": "SUITE 102",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154930",
            "telephone_number": "650-991-2000",
            "fax_number": "650-755-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "YI",
        "middle_name": "CHING",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A8819",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A8819",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "20A8819",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX88190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.