Active NPI
Christina M Yambo, MD
- Emergency Medicine Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D80059
- Practice address
- 475 Irving Ave
Suite 200
Syracuse, NY 13210-1756 - Phone
- (315) 464-4686
- Fax
- (315) 464-7106
- NPI assigned
- May 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 234490 | NY | |
| Emergency Medicine Physician | 207P00000X | D80059 | NY | Primary |
Addresses
Primary practice location
475 Irving Ave
Suite 200
Syracuse, NY 13210-1756
Mailing address
475 Irving Ave
Suite 200
Syracuse, NY 13210-1756
Phone (315) 464-4686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02682584 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D80059 | NY | MD | Emergency Medicine Physician |
| 234490 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Ny Primary Care Practice PC | Family Medicine | Current | Accepting new patients |
| Christian L Holcomb, MD | Family Medicine | Past | Accepting new patients |
| Family Medicine Medical Service Group | Family Medicine | Past | Accepting new patients |
| Upstate Family and Preventive Medicine, Inc | Family Medicine | Past | Accepting new patients |
| Immediate Care East Walk-in Medical Treatment, PLLC | Past | Accepting new patients | |
| Syracuse Community Health Center, Inc. | Past | Accepting new patients | |
| Ny Urgent Care Practice, P.C. | Past | Accepting new patients |
Locations
8003 Brewerton Rd
Cicero, NY 13039
Phone (315) 288-4006
830 County Road 64
#19C
Elmira, NY 14903
Phone (607) 846-2030
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
7375 Oswego Rd
#2
Liverpool, NY 13090
Phone (315) 291-0064
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
Organizations & group practices 8
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.
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
dba WellNow Allergy
- Allergy & Immunology Physician
- Orchard Park, NY
- NPI 1104276252
Family Medicine
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1205135357
-
- Family Medicine Physician
- Syracuse, NY
- NPI 1538187075
-
- Urgent Care Clinic/Center
- Victor, NY
- NPI 1053465351
-
dba Five Star Urgent Care Big Flats
- Urgent Care Clinic/Center
- Elmira, NY
- NPI 1962770016
-
- Federally Qualified Health Center (FQHC)
- Syracuse, NY
- NPI 1497796353
-
- Family Medicine Physician
- Syracuse, NY
- NPI 1073988911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1457319352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 IRVING AVE",
"address_2": "SUITE 200",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101756",
"telephone_number": "315-464-4686",
"fax_number": "315-464-7106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 IRVING AVE",
"address_2": "SUITE 200",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101756",
"telephone_number": "315-464-4686",
"fax_number": "315-464-7106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMBO",
"first_name": "CHRISTINA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "234490",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "D80059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02682584",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.