Anna Liza Yadao

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

931 San Bruno Ave W RM 2
San Bruno, CA 94066-3435

Phone

(650) 832-6797

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kalahati Lacuesta Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1780363531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 ADELINE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946084275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 SAN BRUNO AVE W RM 2",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663435",
            "telephone_number": "650-832-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADAO",
        "first_name": "ANNA LIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALAHATI",
            "last_name": "LACUESTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shing Ka Wu, D.D.S.
• Bing Elliot Xia, DDS
• Xuming Xia
• Khou Xiong
• Allen-Jacob Yolangco Yabut
• Shilpa Yadav, DDS
• Librada C Yamat, D.D.S.
• Diana Yancy
• Marcie A Yanez
• Nicole F Yang

• Community Health Worker in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.