NPIMap

Individual provider Active NPI

Kwong K Yau, M.D.

  • Pediatrics Physician
  • San Jose, CA
National Provider Identifier
1609866862
Registry record updated Nov 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A50656 Issued in CA
Practice address
200 Jose Figueres Ave
#300
San Jose, CA 95116-1585
Phone
(408) 254-8828
Fax
(408) 254-8848
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A50656 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave
#300
San Jose, CA 95116-1585

Mailing address

200 Jose Figueres Ave
#300
San Jose, CA 95116-1585
Phone (408) 254-8828

Other names 1

  • Dr. Kennenth Kwong Yau Professional name

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
A50656CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital, L.P. Past Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
O'Connor Hospital Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kyau126113@santaclaravalley.direct-ci.net

Organizations & group practices 6

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195257600000",
    "number": "1609866862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "#300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161585",
            "telephone_number": "408-254-8828",
            "fax_number": "408-254-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "#300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161585",
            "telephone_number": "408-254-8828",
            "fax_number": "408-254-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAU",
        "first_name": "KWONG",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2007-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A50656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNENTH",
            "last_name": "YAU",
            "middle_name": "KWONG",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2007; 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.