Individual provider Active NPI

Wai-Tak Annie Yeung, P.A.

  • Physician Assistant
  • Alhambra, CA
National Provider Identifier
1679892582
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20019 Issued in CA
Practice address
707 S Garfield Ave
Suite 304
Alhambra, CA 91801-5859
Phone
(626) 588-2825
Fax
(626) 588-2850
NPI assigned
May 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20019 CA Primary

Addresses

Primary practice location

707 S Garfield Ave
Suite 304
Alhambra, CA 91801-5859

Mailing address

707 S Garfield Ave
Suite 304
Alhambra, CA 91801-5859
Phone (626) 588-2825

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525002493 CA Order and Referring Only - Physician Assistant 5496044885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA20019CAMDPhysician Assistant
20019CAMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: annie.yeung.p3@direct.scoa.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1679892582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S GARFIELD AVE",
            "address_2": "SUITE 304",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015859",
            "telephone_number": "626-588-2825",
            "fax_number": "626-588-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S GARFIELD AVE",
            "address_2": "SUITE 304",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015859",
            "telephone_number": "626-588-2825",
            "fax_number": "626-588-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEUNG",
        "first_name": "WAI-TAK ANNIE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.