Active NPI
Min Yan, M.D.
- Internal Medicine Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A115562
- Practice address
- 2633 Telegraph Ave
Suite 104
Oakland, CA 94612-1743 - Phone
- (510) 830-3100
- Fax
- (925) 778-3567
- NPI assigned
- Feb 10, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A115562 | CA | Primary |
Addresses
Primary practice location
2633 Telegraph Ave
Suite 104
Oakland, CA 94612-1743
Mailing address
4721 Dallas Ranch Rd
Antioch, CA 94531-8811
Phone (925) 778-0679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1480 64TH St
Suite 100
Emeryville, CA 94608-2038
Phone (510) 629-6682
Hospital & facility affiliations
- Vital Home Health Care
- Alta Bates Summit Medical Center
- Alta Bates Summit Medical Center - Alta Bates Camp
- Alameda Hospital
- John Muir Medical Center - Walnut Creek Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A115562 | CA | MD | Internal Medicine Physician |
| 115562 | CA | MD | Rehabilitation Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Care | Current | Accepting new patients | |
| Alta Bates Summit Medical Center | Past | Accepting new patients |
Locations
4721 Dallas Ranch Rd
Antioch, CA 94531
Phone (925) 676-2600
1480 64th St
Ste 100
Emeryville, CA 94608
Phone (415) 565-6684
399 9TH St Ste 218
Oakland, CA 94607
388 9th St
Ste 218
Oakland, CA 94607
Phone (510) 451-1196
388 9th St
Ste 218B
Oakland, CA 94607
Phone (510) 271-0133
13847 E 14th St
Ste 217
San Leandro, CA 94578
Phone (510) 483-2555
355 Lennon Ln
Ste 205
Walnut Creek, CA 94598
Phone (925) 935-0627
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Antioch, CA
- NPI 1780107797
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1043358542
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alameda, CA
- NPI 1831529049
-
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
-
- General Acute Care Hospital
- Berkeley, CA
- NPI 1639523004
-
- Home Health Agency
- Hayward, CA
- NPI 1376848408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1447499710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 DALLAS RANCH RD",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318811",
"telephone_number": "925-778-0679",
"fax_number": "925-778-3567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2633 TELEGRAPH AVE",
"address_2": "SUITE 104",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121743",
"telephone_number": "510-830-3100",
"fax_number": "925-778-3567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAN",
"first_name": "MIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-10",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A115562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.