Active NPI
Randall K. Yee MD, a Professional Medical Corporation
- Internal Medicine Physician
- Manteca, CA
National Provider Identifier
1336324458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A34506
- Legal business name
- RANDALL K. YEE MD, A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 165 Saint Dominics Dr
Ste. #201
Manteca, CA 95337-7802 - Phone
- (209) 823-1701
- Fax
- (209) 823-0996
- NPI assigned
- Jan 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randall K Yee, M.D.
- Title
- Physician
- Phone
- (209) 823-1701
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A34506 | CA | Primary |
Addresses
Primary practice location
165 Saint Dominics Dr
Ste. #201
Manteca, CA 95337-7802
Mailing address
165 Saint Dominics Dr
Ste. #201
Manteca, CA 95337-7802
Phone (209) 823-1701
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329696000000",
"number": "1336324458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 SAINT DOMINICS DR",
"address_2": "STE. #201",
"city": "MANTECA",
"state": "CA",
"postal_code": "953377802",
"telephone_number": "209-823-1701",
"fax_number": "209-823-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 SAINT DOMINICS DR",
"address_2": "STE. #201",
"city": "MANTECA",
"state": "CA",
"postal_code": "953377802",
"telephone_number": "209-823-1701",
"fax_number": "209-823-0996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDALL K. YEE MD, A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-08",
"last_updated": "2012-02-20",
"status": "A",
"authorized_official_last_name": "YEE",
"authorized_official_first_name": "RANDALL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "209-823-1701",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A34506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.