Active NPI
Peter Yao, MD
- Pediatrics Physician
- Clovis, CA
National Provider Identifier
1427136233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G36418
- Practice address
- 275 W Herndon Ave
Clovis, CA 93612 - Phone
- (559) 324-6200
- Fax
- (559) 324-6280
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G36418 | CA | Primary |
| Dermatology Physician | 207N00000X | G36418 | CA |
Addresses
Primary practice location
275 W Herndon Ave
Clovis, CA 93612
Mailing address
275 W Herndon Ave
Clovis, CA 93612
Phone (559) 324-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G364180 | Medicaid | CA |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G36418 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1427136233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 W HERNDON AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "93612",
"telephone_number": "559-324-6200",
"fax_number": "559-324-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W HERNDON AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "93612",
"telephone_number": "559-324-6200",
"fax_number": "559-324-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAO",
"first_name": "PETER",
"name_prefix": "Prof.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G36418",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G36418",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G364180",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.