Active NPI
Yelena Koss, M.D.
- Psychiatry Physician
- Burlingame, CA
National Provider Identifier
1487738696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A53585
- Practice address
- 1838 El Camino Real Ste 100
Burlingame, CA 94010-3105 - Phone
- (650) 347-1182
- NPI assigned
- Oct 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A53585 | CA | Primary |
Addresses
Primary practice location
1838 El Camino Real Ste 100
Burlingame, CA 94010-3105
Mailing address
177 Bovet Rd FL 6
C/O CD Billing
San Mateo, CA 94402-3116
Phone (701) 255-9279
Other practice location 1
100 S San Mateo Dr
San Mateo, CA 94401-3805
Phone (650) 696-5400
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100924000228 | CA | Practitioner - Psychiatry | 0244356509 | Practice locations: Burlingame, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
345 Lorton Ave
Suite 104
Burlingame, CA 94010-4134
Phone (650) 347-1182
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53585 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1487738696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 BOVET RD FL 6",
"address_2": "C/O CD BILLING",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023116",
"telephone_number": "701-255-9279",
"fax_number": "701-222-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1838 EL CAMINO REAL STE 100",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103105",
"telephone_number": "650-347-1182"
}
],
"practiceLocations": [
{
"address_1": "100 S San Mateo Dr",
"address_purpose": "LOCATION",
"city": "San Mateo",
"state": "CA",
"postal_code": "944013805",
"country_code": "US",
"telephone_number": "650-696-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOSS",
"first_name": "YELENA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A53585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.