Active NPI
Yanko Athanassov Yankov, M.D.
- Neurology Physician
- Bulverde, TX
National Provider Identifier
1801856422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- L2764
- Practice address
- 2395 Bulverde Rd Ste 101B
Bulverde, TX 78163-4572 - Phone
- (830) 980-1761
- Fax
- (830) 980-1746
- NPI assigned
- Mar 27, 2006
- Last updated
- Mar 28, 2018
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | L2764 | TX | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | L2764 | TX |
Addresses
Primary practice location
2395 Bulverde Rd Ste 101B
Bulverde, TX 78163-4572
Mailing address
PO Box 592827
San Antonio, TX 78259-0191
Phone (830) 980-1761
Other practice location 1
2128 Babcock Rd Ste 101
San Antonio, TX 78229-4458
Phone (210) 340-1141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8G4800 | Other | TX | BC/BS OF TX |
| 158401301 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2764 | TX | MD | Neurology Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Bulverde, TX
- NPI 1003002239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1801856422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 592827",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782590191",
"telephone_number": "830-980-1761",
"fax_number": "830-980-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2395 BULVERDE RD STE 101B",
"city": "BULVERDE",
"state": "TX",
"postal_code": "781634572",
"telephone_number": "830-980-1761",
"fax_number": "830-980-1746"
}
],
"practiceLocations": [
{
"address_1": "2128 Babcock Rd Ste 101",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782294458",
"country_code": "US",
"telephone_number": "210-340-1141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANKOV",
"first_name": "YANKO",
"middle_name": "ATHANASSOV",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "L2764",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "TX",
"license": "L2764",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF TX",
"identifier": "8G4800",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158401301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bulverde, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.