Individual provider Active NPI

Robbin Green-Yeh, DO

  • Internal Medicine Physician
  • Alameda, CA
National Provider Identifier
1740290329
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A6757 Issued in CA
Practice address
501 S Shore Ctr W Ste 103F
Alameda, CA 94501-5762
Phone
(510) 814-4630
Fax
(510) 814-4644
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A6757 CA Primary

Addresses

Primary practice location

501 S Shore Ctr W Ste 103F
Alameda, CA 94501-5762

Mailing address

1411 East 31St Street
Oakcare Medical Group
Oakland, CA 94602
Phone (510) 346-1468

Other identifiers 1

IdentifierTypeStateIssuer
00AX67570MedicaidCA

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)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1740290329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 EAST 31ST STREET",
            "address_2": "OAKCARE MEDICAL GROUP",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94602",
            "telephone_number": "510-346-1468",
            "fax_number": "510-895-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SHORE CTR W STE 103F",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015762",
            "telephone_number": "510-814-4630",
            "fax_number": "510-814-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-YEH",
        "first_name": "ROBBIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A6757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX67570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

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