Arbor Vita Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ARBOR VITA CORPORATION

Doing business as

Hemediagnostics, Lab, Inc.
Holly Yamada, MD Inc

Practice address

48371 Fremont Blvd Ste 101
Fremont, CA 94538-6554

Phone

(650) 793-3686

Fax

(510) 573-4758

NPI assigned

Mar 21, 2006

Last updated

May 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Lu, MDNPI 1275005209

Title

Ceo

Phone

(650) 793-3686

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• HEMEDIAGNOSTICS, LAB, INC. Doing business as
• Holly Yamada, MD Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Lu, MD

  • Dermatology Physician
  • Fremont, CA
  • NPI 1275005209
  NPD Authorized official
• Holly Dasghaib, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Del Mar, CA
  • NPI 1003876038

  Cytopathology

  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1821057407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48371 FREMONT BLVD STE 101",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945386554",
            "telephone_number": "650-793-3686",
            "fax_number": "510-573-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48371 FREMONT BLVD STE 101",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945386554",
            "telephone_number": "650-793-3686",
            "fax_number": "510-573-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR VITA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-793-3686",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G654880",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB21148F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEMEDIAGNOSTICS, LAB, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEMEDIAGNOSTICS, LAB, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holly Yamada, MD Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aileen Araj, NP
• Ramsey Araj, MD
• Shirley Arakal
• Jinnely Arambula
• Russell P Arayata
• Ena Andrea Arce, RN
• Raisa Arce
• Cindy Alejandrina Arceo
• Melissa Archer
• Arellano, Chui, Thai & Yabu, DDS, Inc. (Bay Area Sleep Apnea Solutions)

• Clinical Medical Laboratory in Fremont, CA
• Providers in Fremont, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.