Individual provider Active NPI

Stephanie Hwanying Yeh, PA-C

  • Physician Assistant
  • San Mateo, CA
National Provider Identifier
1467926477
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
56074 Issued in CA
Practice address
46 Hillsdale Mall
San Mateo, CA 94403-3407
Phone
(650) 769-5612
NPI assigned
Jan 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 56074 CA Primary

Addresses

Primary practice location

46 Hillsdale Mall
San Mateo, CA 94403-3407

Mailing address

46 Hillsdale Mall
San Mateo, CA 94403-3407
Phone (650) 769-5612

Other practice location 1

1241 Otis Dr
Alameda, CA 94501-5664
Phone (626) 893-5603

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205001650 CA Practitioner - Physician Assistant 0042646366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians

Practice addresses (Care Compare)

10165 Valley View St
Cypress, CA 90630-4602
Phone (714) 252-5016

1040 W Imperial Hwy
Suite D
La Habra, CA 90631-0608
Phone (714) 451-1072

13299 S St
Cerritos, CA 90703-7307
Phone (562) 865-8750

13365 W Washington Blvd
Los Angeles, CA 90066-5134
Phone (310) 504-1825

14443 Culver Dr
14443 A
Irvine, CA 92604-0343
Phone (949) 767-8173

3195 Harbor Blvd
Suite 3
Costa Mesa, CA 92626-2514
Phone (714) 263-0227

3851 Katella Ave
Suite 100
Los Alamitos, CA 90720-3385
Phone (562) 430-4138

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883-3627
Phone (951) 293-4722

7831 Monticello Ave
Suite 1102
Rancho Cucamonga, CA 91739-8879
Phone (909) 285-2098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthright 360 CurrentSince Feb 6, 2019 Accepting new patients
Healthright 360 CurrentSince Feb 6, 2019 Accepting new patients
Carbon Health Primary Care of California PC PastSince Feb 25, 2021 Accepting new patients

Locations

558 Clayton St
San Francisco, CA 94117
Phone (415) 746-1950

Organizations & group practices 5

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": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1467926477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HILLSDALE MALL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033407",
            "telephone_number": "650-769-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 HILLSDALE MALL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033407",
            "telephone_number": "650-769-5612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1241 Otis Dr",
            "address_purpose": "LOCATION",
            "city": "Alameda",
            "state": "CA",
            "postal_code": "945015664",
            "country_code": "US",
            "telephone_number": "626-893-5603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEH",
        "first_name": "STEPHANIE",
        "middle_name": "HWANYING",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.