Active NPI
Kidist Kidane Yimam, M.D.
- Transplant Hepatology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Hepatology Physician
- License
- 906368
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A103412 | Other | CA | STATE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
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
- California Pacific Medical Center- Van Ness Campus
- Sutter Medical Center, Sacramento
- Sutter Roseville Medical Center
- Sutter Auburn Faith Hospital
- California Pacific Medical Ctr-Davies Campus Hosp
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A103412 | CA | MD | Internal Medicine Physician |
| 906368 | CA | MD | Transplant Hepatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
-
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.