Active NPI
Bartley Gordon Yee, D.O.
- Family Medicine Physician
- Pomona, CA
National Provider Identifier
1417153958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A5152
- Practice address
- 795 E 2ND St
Suite 5
Pomona, CA 91766-2007 - Phone
- (909) 865-2565
- Fax
- (909) 865-2599
- NPI assigned
- Jun 22, 2007
- Last updated
- May 20, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A5152 | CA | Primary |
Addresses
Primary practice location
795 E 2ND St
Suite 5
Pomona, CA 91766-2007
Mailing address
309 E 2ND St
HPC 2ND Floor, Room 2255
Pomona, CA 91766-1854
Phone (909) 469-6753
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC695Y | Other | CA | MEDICARE SO CA PTAN |
| DC695Z | Other | CA | MEDICARE NO CA PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1417153958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E 2ND ST",
"address_2": "HPC 2ND FLOOR, ROOM 2255",
"city": "POMONA",
"state": "CA",
"postal_code": "917661854",
"telephone_number": "909-469-6753",
"fax_number": "909-706-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 E 2ND ST",
"address_2": "SUITE 5",
"city": "POMONA",
"state": "CA",
"postal_code": "917662007",
"telephone_number": "909-865-2565",
"fax_number": "909-865-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEE",
"first_name": "BARTLEY",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-22",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A5152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SO CA PTAN",
"identifier": "DC695Y",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NO CA PTAN",
"identifier": "DC695Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.