Individual provider Active NPI

Wyman Yee, MD

  • Vascular & Interventional Radiology Physician
  • Anaheim, CA
National Provider Identifier
1790779296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
G62644 Issued in CA
Practice address
Anaheim General Hospital, Dept of Radiology
3350 W. Ball Road
Anaheim, CA 92804
Phone
(310) 920-2534
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X G62644 CA Primary

Addresses

Primary practice location

Anaheim General Hospital, Dept of Radiology
3350 W. Ball Road
Anaheim, CA 92804

Mailing address

PO Box 3447
Huntington Beach, CA 92605-3447
Phone (310) 920-2534

Other identifiers 1

IdentifierTypeStateIssuer
G62644OtherCAMEDICAL LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130227000388 CA Practitioner - Other (Physician)Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7911990577 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)Also: Interventional Radiology
Education
Wayne State University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reza Shahbaz MD IncGroup PAC ID 6800209180, 10 clinicians

Practice addresses (Care Compare)

875 N Brea Blvd
Brea, CA 92821-2606
Phone (714) 529-6842

Hospital & facility affiliations

  • Foothill Regional Medical Center Hospital, Tustin, CA, CCN 050780
  • Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663
  • Anaheim Global Medical Center Hospital, Anaheim, CA, CCN 050744
  • Coastal Communities Hospital Hospital, Santa Ana, CA, CCN 050747
  • Chapman Global Medical Center Hospital, Orange, CA, CCN 050745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G62644CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC CurrentSince Oct 16, 2023 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59, LLC CurrentSince Oct 16, 2023 Accepting new patients
John P Anderson MD Russell M Perry MD and Mark a Sharzer MD a Med CRP CurrentSince Sep 19, 2018 Accepting new patients
Reza Shahbaz MD Inc CurrentSince Oct 5, 2020 Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

875 N Brea Blvd
Brea, CA 92821
Phone (714) 529-6842

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900

5525 W Slauson Ave
Los Angeles, CA 90056
Phone (310) 642-0325

550 N Monterey Ave
Ontario, CA 91764
Phone (909) 629-2290

10841 White Oak Ave
Rch Cucamonga, CA 91730
Phone (626) 914-1514

Organizations & group practices 5

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 6

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790779296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3447",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926053447",
            "telephone_number": "310-920-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANAHEIM GENERAL HOSPITAL, DEPT OF RADIOLOGY",
            "address_2": "3350 W. BALL ROAD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "310-920-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE",
        "first_name": "WYMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G62644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G62644",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.