Individual provider Active NPI

Jenny Daci Yang, MD

  • Gastroenterology Physician
  • San Jose, CA
National Provider Identifier
1700021987
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A119192 Issued in CA
Practice address
2331 Montpelier Dr Ste B
San Jose, CA 95116-1673
Phone
(408) 347-9001
Fax
(408) 347-9004
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A119192 CA Primary

Addresses

Primary practice location

2331 Montpelier Dr Ste B
San Jose, CA 95116-1673

Mailing address

2331 Montpelier Dr Ste B
San Jose, CA 95116-1673
Phone (408) 347-9001

Other practice location 1

231 OConnor Dr
San Jose, CA 95128-1624
Phone (408) 347-9001

Other practice location 2

200 Jose Figueres Ave Ste 265
San Jose, CA 95116-1589
Phone (408) 347-9001

Other names 1

  • Kuang Daci Former name

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
I20120912000749 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 9739357716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Jose Gastroenterology, Inc.Group PAC ID 5597745851, 11 clinicians

Practice addresses (Care Compare)

2331 Montpelier Dr
Suite B
San Jose, CA 95116-1673
Phone (408) 347-9001

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

Merit-based Incentive Payment System (MIPS)

Final score
96.67 of 100Reported as individual
Quality
83.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy174
Upper gastrointestinal (GI) endoscopy for acid reflux62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHLB, LLC Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
County of Santa Clara Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jyang98395@santaclaravalley.direct-ci.net

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": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1700021987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 MONTPELIER DR STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161673",
            "telephone_number": "408-347-9001",
            "fax_number": "408-347-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 MONTPELIER DR STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161673",
            "telephone_number": "408-347-9001",
            "fax_number": "408-347-9004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 OConnor Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281624",
            "country_code": "US",
            "telephone_number": "408-347-9001",
            "fax_number": "408-347-9004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Jose Figueres Ave Ste 265",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161589",
            "country_code": "US",
            "telephone_number": "408-347-9001",
            "fax_number": "408-347-9004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "JENNY",
        "middle_name": "DACI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A119192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KUANG",
            "last_name": "DACI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.