Individual provider Active NPI

Eric Yadao

  • Assisted Living Facility
  • Modesto, CA
National Provider Identifier
1750268132
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Practice address
1902 La Villa Rose CT
Modesto, CA 95350-3127
Phone
(209) 280-0776
NPI assigned
Aug 19, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 00000000000 CA
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1902 La Villa Rose CT
Modesto, CA 95350-3127

Mailing address

3511 Sneath LN
San Bruno, CA 94066-2550
Phone (408) 823-7452

Other practice location 1

129 Palm Ave
Modesto, CA 95350-5419
Phone (209) 280-0776

Other practice location 2

414 Corson Ave
Modesto, CA 95350-5408
Phone (209) 280-0776

Other practice location 3

412 Corson Ave
Modesto, CA 95350-5408
Phone (209) 280-0776

Other practice location 4

2238 Glendale Ave
Modesto, CA 95354-3038
Phone (209) 280-0776

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00000000000CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eem Properties LLC Assisted Living Facility CurrentSince Aug 25, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1750268132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 SNEATH LN",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662550",
            "telephone_number": "408-823-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 LA VILLA ROSE CT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953503127",
            "telephone_number": "209-280-0776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953505419",
            "country_code": "US",
            "telephone_number": "209-280-0776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 Corson Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953505408",
            "country_code": "US",
            "telephone_number": "209-280-0776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 Corson Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953505408",
            "country_code": "US",
            "telephone_number": "209-280-0776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2238 Glendale Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953543038",
            "country_code": "US",
            "telephone_number": "209-280-0776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YADAO",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "00000000000",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.