Active NPI
Tzuoo-Ming Yeh, M.D.
- Surgery Physician
- San Jose, CA
National Provider Identifier
1629069794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A44634
- Practice address
- 2407 Forest Ave
San Jose, CA 95128-1522 - Phone
- (408) 296-3288
- Fax
- (408) 296-3688
- NPI assigned
- Oct 28, 2005
- Last updated
- Feb 19, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A44634 | CA | Primary |
Addresses
Primary practice location
2407 Forest Ave
San Jose, CA 95128-1522
Mailing address
2407 Forest Ave
San Jose, CA 95128-1522
Phone (408) 296-3288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A446340 | Medicaid | CA |
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 |
|---|---|---|---|---|
| I20040408000891 | CA | Practitioner - General Practice | 8022002526 | Practice locations: San Jose, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44634 | CA | MD | Marriage & Family Therapist |
Interoperability endpoints
- tyeh126116@santaclaravalley.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1629069794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2407 FOREST AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281522",
"telephone_number": "408-296-3288",
"fax_number": "408-296-3688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2407 FOREST AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281522",
"telephone_number": "408-296-3288",
"fax_number": "408-296-3688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEH",
"first_name": "TZUOO-MING",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A44634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A446340",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}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 Feb 19, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.