Individual provider Active NPI

Cynthia Siu-San Yuan, MD

  • Anesthesiology Physician
  • San Jose, CA
National Provider Identifier
1679798185
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C157744 Issued in CA
Practice address
2425 Samaritan Dr
San Jose, CA 95124-3908
Phone
(408) 399-5546
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01063859 IN
Anesthesiology Physician 207L00000X C157744 CA Primary

Addresses

Primary practice location

2425 Samaritan Dr
San Jose, CA 95124-3908

Mailing address

2120 Surrey PL
Campbell, CA 95008-4305
Phone (317) 442-8710

Other identifiers 2

IdentifierTypeStateIssuer
000000519808OtherINANTHEM
200875140MedicaidIN

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
I20211221001950 CA Practitioner - Anesthesiology 4587756721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

Practice addresses (Care Compare)

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C157744CAMDAnesthesiology Physician
01063859INMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G2 Anesthesia PC Anesthesiology CurrentSince Oct 25, 2021 Accepting new patients
Forest Anesthesia Medical Group Inc Anesthesiology Past Accepting new patients
Joan Oloff D P M Inc Past Accepting new patients
Indiana University Health Inc Past Accepting new patients
Kaiser Permanente Santa Clara Medical Center Past Accepting new patients

Locations

3803 S Bascom Ave
Ste 204
Campbell, CA 95008
Phone (408) 559-8658

3803 S Bascom Ave
Ste 100
Campbell, CA 95008
Phone (408) 559-7177

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

3803 S Bascom Ave
Ste 106
Campbell, CA 95008
Phone (408) 249-3840

2605 S Winchester Blvd
Campbell, CA 95008
Phone (401) 341-8600

4756 El Camino Real
Los Altos, CA 94022
Phone (650) 445-4724

15780 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 358-5000

14830 Los Gatos Blvd
Ste 200
Los Gatos, CA 95032
Phone (408) 377-5556

15195 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0431

555 Knowles Dr
Ste 115
Los Gatos, CA 95032
Phone (408) 374-4400

15047 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 356-2774

14601 S Bascom Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 358-6815

15195 National Ave
Ste 204
Los Gatos, CA 95032
Phone (408) 356-0988

15195 National Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 356-0454

101 Addison Ave
Palo Alto, CA 94301
Phone (650) 433-8621

3370 Geary Blvd
San Francisco, CA 94118
Phone (415) 379-7500

2110 Forest Ave
Ste 2
San Jose, CA 95128
Phone (408) 297-3432

2410 Samaritan Dr
Ste 101
San Jose, CA 95124
Phone (408) 369-9798

280 Hospital Pkwy
San Jose, CA 95119
Phone (408) 972-3100

2410 Samaritan Dr
Ste 100
San Jose, CA 95124
Phone (408) 369-9798

2110 Forest Ave
Fl 2
San Jose, CA 95128
Phone (408) 297-3432

2400 Samaritan Dr
Ste 206
San Jose, CA 95124
Phone (408) 369-9300

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

133 La Casa Via
Ste 150
Walnut Creek, CA 94598
Phone (925) 210-8400

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 1

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1679798185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 SURREY PL",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950084305",
            "telephone_number": "317-442-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243908",
            "telephone_number": "408-399-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUAN",
        "first_name": "CYNTHIA",
        "middle_name": "SIU-SAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01063859",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C157744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000519808",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200875140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.