Individual provider Active NPI

David J Yeh, MMD

  • Neurological Surgery Physician
  • San Luis Obispo, CA
National Provider Identifier
1720044415
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
20326 Issued in MS
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

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05780015MedicaidMS
P00691498OtherMSRAILROAD MEDICARE
TN01X7OtherTNJOHN DEERE
7865604OtherMSAETNA
4115908OtherTNBCBS
1466468MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, GU3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140822002657 CA Practitioner - Neurosurgery 7113989088 Reassigns benefits to 1 organization
I20231004001405 TX Practitioner - Neurosurgery 7113989088 Reassigns benefits to 1 organization
I20241004001150 GU Practitioner - Neurosurgery 7113989088 Reassigns benefits to 1 organization

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. HammerGroup PAC ID 3971559881, 117 clinicians
Central Coast Neurological Surgery PCGroup PAC ID 4587882030, 3 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion249
Laminectomy or laminotomy (partial removal of spine bones)60
Skin biopsy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15642LAMDPharmacist
MD40688TNMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Neurological Surgery CurrentSince Sep 30, 2023 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Oct 7, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 30, 2023 Accepting new patients
Central Coast Neurological Surgery PC Neurological Surgery CurrentSince Jul 2, 2014 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

  • Direct secure messaging: david.yeh.1@9312.direct.athenahealth.com
  • Direct secure messaging: dyeh336124@christushealth.direct-ci.net
  • FHIR API: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.