Organization Active NPI

Randall K. Yee MD, a Professional Medical Corporation

  • Internal Medicine Physician
  • Manteca, CA
National Provider Identifier
1336324458
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A34506 Issued in CA
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

Updated by the provider on Feb 20, 2012

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.