Tiffanie Tian Yu, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

33748 Issued in CA

Practice address

6180 State Farm Dr
Rohnert Park, CA 94928-2135

Phone

(707) 584-7294

NPI assigned

Jun 29, 2017

Last updated

Jun 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tian Yu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1710408737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MORNING STAR DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951313754",
            "telephone_number": "248-982-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 STATE FARM DR",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282135",
            "telephone_number": "707-584-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "TIFFANIE",
        "middle_name": "TIAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIAN",
            "last_name": "YU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allyson Pei Pei Yeo, M.P.T.
• Eunkyo Yi, RPH
• Donna Yock, DMD
• Julie C Yonts, PTA
• Terrence Young
• Jacqueline Uy Yun, D.D.S.
• Mordehai Zadik, M.D.
• Lilian Patricia Zelaya-Coria, LCSW

• Optometrist in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.