Organization Active NPI

Yu Yao MD a Professional Corporation

  • Internal Medicine Physician
  • San Gabriel, CA
National Provider Identifier
1417077967
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
YU YAO MD A PROFESSIONAL CORPORATION
Practice address
230 E Valley Blvd,
Suite 200
San Gabriel, CA 91776-6507
Phone
(626) 288-1918
NPI assigned
Mar 29, 2007
Last updated
Feb 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Winnie Xu Yao
Title
Office Manager
Phone
(626) 288-1918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

230 E Valley Blvd,
Suite 200
San Gabriel, CA 91776-6507

Mailing address

230 E Valley Blvd
Suite 200
San Gabriel, CA 91776-6510
Phone (626) 288-1918

Other identifiers 1

IdentifierTypeStateIssuer
00A553700MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100301000660 CA Part B Supplier - Clinic/Group Practice 1759426885 Receives reassigned benefits from 2 practitioners
Practice locations: San Gabriel, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0929478Yu Yao MD230 E Valley Blvd Ste 200, San Gabriel, CA 91776Certificate of waiverJun 22, 2027

National Provider Directory

National Provider Directory

Locations

230 E Valley Blvd
Ste 200
San Gabriel, CA 91776
Phone (626) 288-1918

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6834/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1417077967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E VALLEY BLVD",
            "address_2": "SUITE 200",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917766510",
            "telephone_number": "626-288-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E VALLEY BLVD,",
            "address_2": "SUITE 200",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917766507",
            "telephone_number": "626-288-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YU YAO MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "YAO",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_middle_name": "XU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-288-1918"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A553700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.