Edward R Yelochan, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA20910 Issued in CA

Practice address

3801 Miranda Ave
MC 112
Palo Alto, CA 94304-1207

Phone

(650) 849-0287

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1316902216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 PERSIAN DR",
            "address_2": "SPC 62",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940891777",
            "telephone_number": "408-542-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "address_2": "MC 112",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "650-849-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELOCHAN",
        "first_name": "EDWARD",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0000407",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA20910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Yee
• Thomas Yee, D.O.
• Debra Jing Yeh, MD
• Caroline Anne Yeldezian, MD
• Amritha Yellamilli, MD, PHD
• Lahia Yemane, MD
• Alex Yen, DDS
• Chung-Kwan Yen, DDS
• Eliza Yiyen Yen, L.AC.
• Jack Yen, MD

• Surgical Physician Assistant in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.