Individual provider Active NPI

Kidist Kidane Yimam, M.D.

  • Transplant Hepatology Physician
  • San Francisco, CA
National Provider Identifier
1639321839
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Hepatology PhysicianTaxonomy code 207RT0003X
License
906368 Issued in CA
Practice address
1100 Van Ness Ave
San Francisco, CA 94109-6978
Phone
(415) 600-1020
Fax
(415) 922-1594
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X A103412 CA
Internal Medicine Physician 207R00000X A103412 CA
Gastroenterology Physician 207RG0100X A103412 CA
Hepatology Physician 207RI0008X A103412 CA
Transplant Hepatology Physician 207RT0003X 906368 CA Primary

Addresses

Primary practice location

1100 Van Ness Ave
San Francisco, CA 94109-6978

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 600-1594

Other practice location 1

2333 Buchanan St
San Francisco, CA 94115-1925
Phone (415) 600-1349

Other practice location 2

1601 Esplanade Ste 3
Chico, CA 95926-3370
Phone (415) 600-1020

Other practice location 3

2367 Harrison Ave
Eureka, CA 95501-3216
Phone (707) 445-9015

Other practice location 4

990 Sonoma Ave
Santa Rosa, CA 95404-4802
Phone (415) 600-1020

Other practice location 5

3883 Airway Dr
Santa Rosa, CA 95403-1670
Phone (415) 600-1020

Other practice location 6

3880 S Bascom Ave Ste 113
San Jose, CA 95124-2600
Phone (415) 600-1020

Other practice location 7

899 Valencia St
San Francisco, CA 94110-1736
Phone (415) 600-1020

Other practice location 8

1431 Noriega St
San Francisco, CA 94122-4431
Phone (415) 600-1020

Other practice location 9

1315 Alhambra Blvd Ste 210
Sacramento, CA 95816-5246
Phone (916) 732-4380

Other practice location 10

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020

Other practice location 11

3300 Webster St Ste 202
Oakland, CA 94609-3120
Phone (510) 208-1777

Other practice location 12

1189 E Herndon Ave
Fresno, CA 93720-3167
Phone (916) 732-4380

Other practice location 13

1401 Spanos Ct Ste 125
Modesto, CA 95355-2814
Phone (415) 600-1000

Other practice location 14

101 Rowland Way Ste 220
Novato, CA 94945-5056
Phone (415) 600-1020

Other practice location 15

2340 Clay St Fl 2
San Francisco, CA 94115
Phone (415) 600-1020

Other identifiers 1

IdentifierTypeStateIssuer
A103412OtherCASTATE MEDICAL LICENSE

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
I20090911000631 CA Practitioner - Internal MedicinePractitioner - Gastroenterology 0749335925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
University of Nevada School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1100 Van Ness Ave
San Francisco, CA 94109-6978
Phone (415) 600-0140

1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6000

1315 Alhambra Blvd
Suite 210
Sacramento, CA 95816-5246
Phone (916) 732-4380

151 N Sunrise Ave
Suite 1205
Roseville, CA 95661-2932
Phone (415) 600-1010

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

3838 California St
San Francisco, CA 94118-1506

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103412CAMDInternal Medicine Physician
906368CAMDTransplant Hepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Internal Medicine Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations (25 of 37)

1601 The Esplanade
Ste 3
Chico, CA 95926
Phone (530) 343-5006

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

2367 Harrison Ave
Eureka, CA 95501
Phone (707) 443-1130

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Fresno, CA 93720
Phone (559) 259-0624

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1401 Spanos Ct
Ste 125
Modesto, CA 95355
Phone (209) 525-3113

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

3300 Webster St
Ste 202
Oakland, CA 94609
Phone (510) 208-1777

795 El Camino Real
#1112
Palo Alto, CA 94301

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

1315 Alhambra Blvd
Ste 210
Sacramento, CA 95816
Phone (415) 600-3604

1100 Van Ness Ave
Fl 3
San Francisco, CA 94109
Phone (415) 600-3397

1431 Noriega St
San Francisco, CA 94122
Phone (415) 759-3777

2340 Clay St
Fl 2
San Francisco, CA 94115
Phone (415) 600-3458

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

2333 Buchanan St
San Francisco, CA 94115
Phone (415) 563-4321

899 Valencia St
San Francisco, CA 94110
Phone (415) 600-6960

Interoperability endpoints

  • Direct secure messaging: kyimammd7493@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1639321839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "415-600-1594",
            "fax_number": "415-922-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VAN NESS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096978",
            "telephone_number": "415-600-1020",
            "fax_number": "415-922-1594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 Buchanan St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941151925",
            "country_code": "US",
            "telephone_number": "415-600-1349",
            "fax_number": "415-775-7437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Esplanade Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959263370",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2367 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955013216",
            "country_code": "US",
            "telephone_number": "707-445-9015",
            "fax_number": "707-445-9014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "990 Sonoma Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954044802",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3883 Airway Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031670",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3880 S Bascom Ave Ste 113",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951242600",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "899 Valencia St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941101736",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1431 Noriega St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941224431",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 Alhambra Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958165246",
            "country_code": "US",
            "telephone_number": "916-732-4380",
            "fax_number": "916-739-0893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "795 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943012302",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Webster St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093120",
            "country_code": "US",
            "telephone_number": "510-208-1777",
            "fax_number": "510-208-1776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1189 E Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203167",
            "country_code": "US",
            "telephone_number": "916-732-4380",
            "fax_number": "916-739-0893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Spanos Ct Ste 125",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953552814",
            "country_code": "US",
            "telephone_number": "415-600-1000",
            "fax_number": "415-558-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Rowland Way Ste 220",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949455056",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2340 Clay St Fl 2",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94115",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIMAM",
        "first_name": "KIDIST",
        "middle_name": "KIDANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "CA",
            "license": "A103412",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A103412",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A103412",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "CA",
            "license": "A103412",
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "CA",
            "license": "906368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A103412",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.