Individual provider Active NPI

Andrew Yuan-Shuoh Yang, O.D.

  • Optometrist
  • San Ramon, CA
National Provider Identifier
1467432559
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11984 TPA Issued in CA
Practice address
175 Market PL
San Ramon, CA 94583-4741
Phone
(925) 275-0202
Fax
(925) 275-0447
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11984 TPA CA Primary

Addresses

Primary practice location

175 Market PL
San Ramon, CA 94583-4741

Mailing address

83 Hillview Dr
Danville, CA 94506-1311
Phone (925) 389-1742

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091123000295 CA Practitioner - Optometry 6800935321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doris H Wong Optometric CorporationGroup PAC ID 6507095882, 5 clinicians

Practice addresses (Care Compare)

175 Market PL
San Ramon, CA 94583-4741
Phone (925) 275-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11984 TPACAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Doris H Wong Optometric Corporation Optometrist CurrentSince Jan 2, 2025 Accepting new patients
Total Vision PC Optometrist CurrentSince Sep 4, 2020 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients
J Pietrantonio OD Inc Optometrist PastSince Jan 1, 2005 Accepting new patients

Locations

233 N Santa Cruz Ave
Los Gatos, CA 95030
Phone (408) 354-9310

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

6155 Stoneridge Dr
Ste 100
Pleasanton, CA 94588
Phone (925) 463-2150

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

175 Market Pl
San Ramon, CA 94583
Phone (925) 275-0202

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1467432559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HILLVIEW DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945061311",
            "telephone_number": "925-389-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MARKET PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834741",
            "telephone_number": "925-275-0202",
            "fax_number": "925-275-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "ANDREW",
        "middle_name": "YUAN-SHUOH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11984 TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.