Alice Yan, MD, Incorporated

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ALICE YAN, MD, INCORPORATED

Practice address

1500 Southgate Ave Ste 115
Daly City, CA 94015-2205

Phone

(650) 991-4466

Fax

(650) 991-4467

NPI assigned

Aug 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alice Lim YanNPI 1245265362

Title

MD

Phone

(650) 991-4466

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alice Lim Yan, M.D.

  • Internal Medicine Physician
  • Daly City, CA
  • NPI 1245265362
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326050071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE AVE STE 115",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152205",
            "telephone_number": "650-991-4466",
            "fax_number": "650-991-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE AVE STE 115",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152205",
            "telephone_number": "650-991-4466",
            "fax_number": "650-991-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE YAN, MD, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "LIM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "650-991-4466",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.