Individual provider Active NPI

Martin C Yee, MD

  • Internal Medicine Physician
  • Cupertino, CA
National Provider Identifier
1508886888
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A055048 Issued in CA
Practice address
10627 Bandley Dr
Cupertino, CA 95014-1754
Phone
(408) 217-6130
Fax
(408) 217-6130
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A055048 CA Primary

Addresses

Primary practice location

10627 Bandley Dr
Cupertino, CA 95014-1754

Mailing address

10627 Bandley Dr
Cupertino, CA 95014-1754
Phone (408) 217-6130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A055048CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Sports and Preventive Medicine Associates, Inc. Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: martin.yee.1@19661.direct.athenahealth.com

Organizations & group practices 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1508886888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10627 BANDLEY DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141754",
            "telephone_number": "408-217-6130",
            "fax_number": "408-217-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10627 BANDLEY DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141754",
            "telephone_number": "408-217-6130",
            "fax_number": "408-217-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE",
        "first_name": "MARTIN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A055048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.