Individual provider Active NPI

Min Yan, M.D.

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1447499710
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A115562 Issued in CA
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

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140519002175 CA Practitioner - Hematology/Oncology 8820211980 Reassigns benefits to 1 organization

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
Epic CareGroup PAC ID 5890053094, 54 clinicians

Practice addresses (Care Compare)

1480 64TH St
Suite 100
Emeryville, CA 94608-2038
Phone (510) 629-6682

Hospital & facility affiliations

  • Vital Home Health Care Home health agency, Hayward, CA, CCN 059462
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Alameda Hospital Hospital, Alameda, CA, CCN 050211
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A115562CAMDInternal Medicine Physician
115562CAMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Care CurrentSince Feb 13, 2018 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.