Rex a. Yannis, MD, a Prof. Corp.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C42705 Issued in CA

Legal business name

REX A. YANNIS, MD, A PROF. CORP.

Practice address

146 Traffic Way
Arroyo Grande, CA 93420-3376

Phone

(805) 481-5511

Fax

(805) 481-9631

NPI assigned

Apr 23, 2009

Last updated

Apr 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rex Anthony Yannis, M.D.

Title

Ceo

Phone

(805) 481-5511

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1588808307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 TRAFFIC WAY",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203376",
            "telephone_number": "805-481-5511",
            "fax_number": "805-481-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 TRAFFIC WAY",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203376",
            "telephone_number": "805-481-5511",
            "fax_number": "805-481-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REX A. YANNIS, MD, A PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "YANNIS",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-481-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C42705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.