Active NPI
David J Yeh, MMD
- Neurological Surgery Physician
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 20326
- Practice address
- 1531 Higuera St
San Luis Obispo, CA 93401-2917 - Phone
- (805) 704-0889
- Fax
- (805) 548-1994
- NPI assigned
- Apr 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD40688 | TN | |
| Neurological Surgery Physician | 207T00000X | R5058 | TX | |
| Neurological Surgery Physician | 207T00000X | M-2439 | GU | |
| Neurological Surgery Physician | 207T00000X | 20326 | MS | Primary |
Addresses
Primary practice location
1531 Higuera St
San Luis Obispo, CA 93401-2917
Mailing address
1531 Higuera St
San Luis Obispo, CA 93401-2917
Phone (805) 704-0889
Other practice location 1
910 E Houston St Ste 330
Tyler, TX 75702-8368
Phone (903) 606-7995
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05780015 | Medicaid | MS | |
| P00691498 | Other | MS | RAILROAD MEDICARE |
| TN01X7 | Other | TN | JOHN DEERE |
| 7865604 | Other | MS | AETNA |
| 4115908 | Other | TN | BCBS |
| 1466468 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX, GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Medical College of Georgia School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- David B. Hammer
Practice addresses (Care Compare)
1051 Las Tablas Rd
Templeton, CA 93465-5603
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
1531 Higuera St
San Luis Obispo, CA 93401-2917
Phone (805) 704-0889
Hospital & facility affiliations
- Mission Home Health of Central Coast
- Central Coast Home Health Inc
- Guam Regional Medical City
- French Hospital Medical Center
- Marian Regional Medical Center
- Adventist Health Twin Cities
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 249 |
| Laminectomy or laminotomy (partial removal of spine bones) | 60 |
| Skin biopsy | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15642 | LA | MD | Pharmacist |
| MD40688 | TN | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Neurological Surgery | Current | Accepting new patients |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Central Coast Neurological Surgery PC | Neurological Surgery | Current | Accepting new patients |
Locations
1531 Higuera St
Sn Luis Obisp, CA 93401
Phone (805) 544-6000
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
910 E Houston St
Ste 330
Tyler, TX 75702
Phone (903) 510-8718
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- david.yeh.1@9312.direct.athenahealth.com
- dyeh336124@christushealth.direct-ci.net
- https://api.platform.athenahealth.com/9312/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- San Luis Obispo, CA
- NPI 1750799086
-
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Neurological Surgery
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Luis Obispo, CA
- NPI 1609044924
-
- Home Health Agency
- Grover Beach, CA
- NPI 1083050280
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
- General Acute Care Hospital
- Templeton, CA
- NPI 1396778197
-
- General Acute Care Hospital
- Dededo, GU
- NPI 1194159525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1720044415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 HIGUERA ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012917",
"telephone_number": "805-704-0889",
"fax_number": "805-548-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 HIGUERA ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012917",
"telephone_number": "805-704-0889",
"fax_number": "805-548-1994"
}
],
"practiceLocations": [
{
"address_1": "910 E Houston St Ste 330",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757028368",
"country_code": "US",
"telephone_number": "903-606-7995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEH",
"first_name": "DAVID",
"middle_name": "J",
"credential": "MMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TN",
"license": "MD40688",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "R5058",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "GU",
"license": "M-2439",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MS",
"license": "20326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05780015",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00691498",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "TN01X7",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7865604",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4115908",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1466468",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.