Individual provider Active NPI

Timothy Yao, PA-C

  • Physician Assistant
  • Salinas, CA
National Provider Identifier
1760712699
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
20700 Issued in CA
Practice address
355 Abbott St Ste 200
Salinas, CA 93901
Phone
(831) 422-3636
Fax
(831) 422-1255
NPI assigned
Dec 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 20700 CA Primary

Addresses

Primary practice location

355 Abbott St Ste 200
Salinas, CA 93901

Mailing address

355 Abbott St Ste 200
Salinas, CA 93901-4483
Phone (831) 422-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180606003416 CA Practitioner - Physician Assistant 1456663194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Western University of Health Sciences College of Dental Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians

Practice addresses (Care Compare)

1033 Los Palos Dr
Salinas, CA 93901-3916
Phone (831) 757-2058

355 Abbott St
Suite 200
Salinas, CA 93901-4483
Phone (831) 422-3636

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20700CAMDChiropractor
3515WIMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Svmhs Clinics CurrentSince Jun 1, 2018 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

355 Abbott St
Ste 200
Salinas, CA 93901
Phone (831) 422-3636

Interoperability endpoints

  • Direct secure messaging: tyao11752@direct.svmh.com

Organizations & group practices 2

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 2

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": "1261785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1760712699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 ABBOTT ST STE 200",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014483",
            "telephone_number": "831-422-3636",
            "fax_number": "831-422-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 ABBOTT ST STE 200",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "93901",
            "telephone_number": "831-422-3636",
            "fax_number": "831-422-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAO",
        "first_name": "TIMOTHY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-26",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "20700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.