Individual provider Active NPI

Elaine Yin, MD

  • Obstetrics & Gynecology Physician
  • Santa Maria, CA
National Provider Identifier
1861418246
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G74466 Issued in CA
Practice address
220 South Palisade Drive
Suite 203
Santa Maria, CA 93454-8903
Phone
(805) 354-7101
Fax
(805) 354-7102
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G74466 CA Primary

Addresses

Primary practice location

220 South Palisade Drive
Suite 203
Santa Maria, CA 93454-8903

Mailing address

220 S Palisade Dr Ste 203
Santa Maria, CA 93454-8903
Phone (805) 354-7101

Other practice location 1

210 S Palisade Dr Ste 101
Santa Maria, CA 93454-5932
Phone (805) 922-0481

Other identifiers 3

IdentifierTypeStateIssuer
00G744660MedicaidCA
GR0092200MedicaidCA
CB221953OtherCAMEDICARE ID

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
I20050331001236 CA Practitioner - Obstetrics/Gynecology 7810881323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

220 S Palisade Dr
Suite 203
Santa Maria, CA 93454-8903
Phone (805) 354-7101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74466CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince Oct 1, 2014 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Oct 1, 2014 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Dignity Health Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Central Coast Obstetrics and Gynecology, Inc., a Medical Group Obstetrics & Gynecology Past Accepting new patients
Twin Cities Community Hospital, Inc. Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

35 Casa St
Ste 220
San Luis Obispo, CA 93405
Phone (805) 595-1808

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

504 Plaza Dr
Santa Maria, CA 93454

210 S Palisade Dr
Ste 101
Santa Maria, CA 93454
Phone (805) 922-0481

220 S Palisade Dr
Ste 203
Santa Maria, CA 93454
Phone (805) 354-7101

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

100 Casa St
Ste B
Sn Luis Obisp, CA 93405
Phone (805) 242-0614

350 Posada Ln
Ste 202
Templeton, CA 93465
Phone (805) 434-5497

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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 2

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1861418246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S PALISADE DR STE 203",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548903",
            "telephone_number": "805-354-7101",
            "fax_number": "805-354-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SOUTH PALISADE DRIVE",
            "address_2": "SUITE 203",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548903",
            "telephone_number": "805-354-7101",
            "fax_number": "805-354-7102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S Palisade Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545932",
            "country_code": "US",
            "telephone_number": "805-922-0481",
            "fax_number": "805-925-5261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIN",
        "first_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G74466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G744660",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092200",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB221953",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.