Samuel Yip, M.D,PH.D,FRCPC

Primary specialty

Vascular Neurology PhysicianTaxonomy code 2084V0102X

License

A100706 Issued in CA

Practice address

200 W Arbor Dr
San Diego, CA 92103-9001

Phone

(619) 543-6266

Fax

(619) 543-5793

NPI assigned

Jul 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1710187638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 LEBON DR",
            "address_2": "#3211",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224593",
            "telephone_number": "619-502-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039001",
            "telephone_number": "619-543-6266",
            "fax_number": "619-543-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIP",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D,PH.D,FRCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "CA",
            "license": "A100706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Yingst
• Ephu Yip-Ngo, PHARMD
• Derek Yip, M.D.
• Jackai Alexis Siobhan Yip, PA-C
• Leslie Yip, RN
• Valerie Yip, MS, OTR/L
• Gloria Yiu, SLP
• YMCA
• YMCA of San Diego County
• YMCA of San Diego County

• Vascular Neurology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Vascular Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.