NPIMap

Individual provider Active NPI

Michael Hsi-Ming Yen, M.D., PH.D.

  • Hematology & Oncology Physician
  • Santa Cruz, CA
National Provider Identifier
1437269313
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A82461 Issued in CA
Practice address
1669 Dominican Way
Santa Cruz, CA 95065-1523
Phone
(831) 475-2220
Fax
(831) 475-2221
NPI assigned
Aug 30, 2006
Last updated
May 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A82461 CA Primary

Addresses

Primary practice location

1669 Dominican Way
Santa Cruz, CA 95065-1523

Mailing address

1669 Dominican Way
Santa Cruz, CA 95065-1523
Phone (831) 475-2220

Other identifiers 1

IdentifierTypeStateIssuer
A82461OtherCASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081010000013 CA Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 2961570403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology
Education
University of California, San Diego School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Coast Oncology and HematologyGroup PAC ID 0143398735, 2 clinicians

Practice addresses (Care Compare)

1669 Dominican Way
Santa Cruz, CA 95065-1523
Phone (831) 475-2220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.4 of 100Reported as group
Quality
54.78
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A82461CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Oncology & Hematology Hematology & Oncology CurrentSince May 1, 2008 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1669 Dominican Way
Santa Cruz, CA 95065
Phone (408) 462-1000

Interoperability endpoints

  • Direct secure messaging: myen241122@hisp.ehr.sutterhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1437269313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 DOMINICAN WAY",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651523",
            "telephone_number": "831-475-2220",
            "fax_number": "831-475-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 DOMINICAN WAY",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651523",
            "telephone_number": "831-475-2220",
            "fax_number": "831-475-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEN",
        "first_name": "MICHAEL",
        "middle_name": "HSI-MING",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A82461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A82461",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.