Individual provider Active NPI

Yong L Shih, D.O

  • Surgery Physician
  • Manteca, CA
National Provider Identifier
1477530236
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A8865 Issued in CA
Practice address
1234 E North St
Suite 105
Manteca, CA 95336-4960
Phone
(209) 239-8086
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20A8865 CA Primary

Addresses

Primary practice location

1234 E North St
Suite 105
Manteca, CA 95336-4960

Mailing address

1234 E North St
Suite 105
Manteca, CA 95336-4960
Phone (209) 239-8086

Other identifiers 2

IdentifierTypeStateIssuer
00AX88650MedicaidCA
20A8865OtherCALICENSE NUMBER

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
I20040917000480 CA Practitioner - General Surgery 6608844782 Practice locations: Manteca, CA; Tracy, CA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, shared by 24 NPIs, 2,473 clinicians

Practice addresses (Care Compare)

1234 E N St
Manteca, CA 95336-4961
Phone (209) 239-8086

441 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 830-4062

445 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 524-1211

447 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 830-4062

473 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 833-3320

815 Court St
Jackson, CA 95642-2154

Hospital & facility affiliations

  • Sutter Tracy Community Hospital Hospital, Tracy, CA, CCN 050313
  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)13
Mastectomy1-10
Pacemaker insertion or repair1-10
Melanoma (skin cancer) excision33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8865CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: yshih95597@hisp.ehr.sutterhealth.org

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 2

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1477530236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 E NORTH ST",
            "address_2": "SUITE 105",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364960",
            "telephone_number": "209-239-8086",
            "fax_number": "866-589-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 E NORTH ST",
            "address_2": "SUITE 105",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364960",
            "telephone_number": "209-239-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIH",
        "first_name": "YONG",
        "middle_name": "L",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A8865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX88650",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "20A8865",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.