Individual provider Active NPI

Wai Dean Yee, M.D.

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1609954098
Registry record updated Dec 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
00G453090 Issued in CA
Practice address
3905 Sacramento St Ste 207
San Francisco, CA 94118-1651
Phone
(415) 750-6324
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 00G453090 CA Primary

Addresses

Primary practice location

3905 Sacramento St Ste 207
San Francisco, CA 94118-1651

Mailing address

3905 Sacramento St Ste 207
San Francisco, CA 94118-1651
Phone (415) 750-6324

Other identifiers 1

IdentifierTypeStateIssuer
00G453090MedicaidCA

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
I20110216001186 CA Practitioner - Ophthalmology 2365623816 Practice locations: San Francisco, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45309CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Medical Group, Inc. Past Accepting new patients

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292716800000",
    "number": "1609954098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 SACRAMENTO ST STE 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181651",
            "telephone_number": "415-750-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 SACRAMENTO ST STE 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181651",
            "telephone_number": "415-750-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE",
        "first_name": "WAI",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "00G453090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G453090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.