Individual provider Active NPI

Monique Vance Yohanan, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Mateo, CA
National Provider Identifier
1700801560
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A71680 Issued in CA
Practice address
1100 Park PL
Suite 300
San Mateo, CA 94403-1599
Phone
(650) 520-2406
Fax
(650) 227-2770
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A71680 CA Primary

Addresses

Primary practice location

1100 Park PL
Suite 300
San Mateo, CA 94403-1599

Mailing address

1100 Park Place
Suite 300
San Mateo, CA 94403-7108
Phone (650) 520-2406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A71680CAMDGeriatric Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1700801560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PARK PLACE",
            "address_2": "SUITE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944037108",
            "telephone_number": "650-520-2406",
            "fax_number": "650-227-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PARK PL",
            "address_2": "SUITE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031599",
            "telephone_number": "650-520-2406",
            "fax_number": "650-227-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOHANAN",
        "first_name": "MONIQUE",
        "middle_name": "VANCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A71680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.