Individual provider Active NPI

Joseph Blair Yanity IV, PA-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1811184369
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54584 Issued in CA
Practice address
1975 4TH St FL 3
San Francisco, CA 94143-2351
Phone
(415) 514-3617
Fax
(415) 353-1202
NPI assigned
Sep 28, 2007
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10005287 WA
Physician Assistant 363A00000X 54584 CA Primary
Surgical Physician Assistant 363AS0400X

Addresses

Primary practice location

1975 4TH St FL 3
San Francisco, CA 94143-2351

Mailing address

1975 4TH St FL 3
San Francisco, CA 94143-2351
Phone (415) 514-3617

Other identifiers 2

IdentifierTypeStateIssuer
8501728MedicaidWA
4719YAOtherWABLUE SHIELD #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071127000808 WA Practitioner - Physician Assistant 7214026343 Reassigns benefits to 1 organization
I20230117001724 CA Practitioner - Physician Assistant 7214026343 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Children's Hospital CurrentSince Sep 1, 2017 Accepting new patients
Seattle Childrens Hospital CurrentSince Sep 1, 2017 Accepting new patients
University of California San Francisco CurrentSince Jan 23, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 23, 2023 Accepting new patients
University of California San Francisco CurrentSince Jan 23, 2023 Accepting new patients
Providence Health & Services-Wa Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Seattle Children's Hospital Past Accepting new patients
Seattle Children's Hospital Past Accepting new patients
Swedish Health Services Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

1975 4th St
Fl 3
San Francisco, CA 94143
Phone (415) 353-1565

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

Interoperability endpoints

  • Direct secure messaging: joseph.yanity@direct.vmmc.org
  • Direct secure messaging: jyanity278662@direct-ucsfmedicalcenter.org
  • Direct secure messaging: jyanity40300@direct.seattlechildrens.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1811184369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 4TH ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432351",
            "telephone_number": "415-514-3617",
            "fax_number": "415-353-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 4TH ST FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432351",
            "telephone_number": "415-514-3617",
            "fax_number": "415-353-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANITY",
        "first_name": "JOSEPH",
        "middle_name": "BLAIR",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10005287",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54584",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8501728",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD #",
            "identifier": "4719YA",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.