Active NPI
Eric Yadao
- Assisted Living Facility
- Modesto, CA
National Provider Identifier
1750268132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000000 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eem Properties LLC | Assisted Living Facility | Current | 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.
-
- Assisted Living Facility
- Modesto, CA
- NPI 1194679431
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.