Active NPI
Stephanie Ye
- General Practice Physician
- Coronado, CA
National Provider Identifier
1902499395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 010275956
- Practice address
- 601 McCain Blvd
Coronado, CA 92118 - Phone
- (619) 545-6210
- NPI assigned
- Feb 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 010275956 | VA | Primary |
Addresses
Primary practice location
601 McCain Blvd
Coronado, CA 92118
Mailing address
28 S R Ave
Coronado, CA 92118
Phone (619) 545-6210
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010275956 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1902499395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 S R AVE",
"city": "CORONADO",
"state": "CA",
"postal_code": "92118",
"telephone_number": "619-545-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 MCCAIN BLVD",
"city": "CORONADO",
"state": "CA",
"postal_code": "92118",
"telephone_number": "619-545-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YE",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-16",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "010275956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coronado, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.