Individual provider Active NPI

Sophia Yang, MD

  • Obstetrics & Gynecology Physician
  • Waltham, MA
National Provider Identifier
1932604717
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1023687 Issued in MA
Practice address
355 Waverly Oaks Rd Ste 275
Waltham, MA 02452-8477
Phone
(781) 893-5550
Fax
(781) 893-0450
NPI assigned
Mar 26, 2018
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A164737 CA
Obstetrics & Gynecology Physician 207V00000X 1023687 MA Primary

Addresses

Primary practice location

355 Waverly Oaks Rd Ste 275
Waltham, MA 02452-8477

Mailing address

300 Mt Auburn St
Parsons 2
Cambridge, MA 02138-5600
Phone (781) 893-5550

Other practice location 1

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-6400

Other practice location 2

5821 Jameson Ct
Carmichael, CA 95608-0820
Phone (916) 486-0411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230215002918 CA Practitioner - Obstetrics/Gynecology 7719359959 Reassigns benefits to 1 organization
I20250710000209 MA Practitioner - Obstetrics/Gynecology 7719359959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Irvine, California College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Auburn Professional Services IncGroup PAC ID 6103725031, 229 clinicians

Practice addresses (Care Compare)

330 Mount Auburn St
Cambridge, MA 02138-5502

57 Bedford St
Suite 130
Lexington, MA 02420-4543
Phone (781) 862-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164737CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Auburn Professional Services Obstetrics & Gynecology CurrentSince Jul 1, 2025 Accepting new patients
Kamras and Polansky Medical Corporation Obstetrics & Gynecology CurrentSince Oct 26, 2022 Accepting new patients
Mount Auburn Professional Services Inc Obstetrics & Gynecology CurrentSince Jul 1, 2025 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Mount Auburn Hospital Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

5821 Jameson Ct
Carmichael, CA 95608
Phone (916) 486-0411

621 Capitol Mall
Ste 950
Sacramento, CA 95814
Phone (916) 486-0411

300 Mount Auburn St
#2
Cambridge, MA 02138

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

355 Waverly Oaks Rd
Ste 275
Waltham, MA 02452
Phone (781) 893-5550

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: syang569486@direct.bilh.masshiway.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1932604717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MT AUBURN ST",
            "address_2": "PARSONS 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385600",
            "telephone_number": "781-893-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 WAVERLY OAKS RD STE 275",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024528477",
            "telephone_number": "781-893-5550",
            "fax_number": "781-893-0450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 S Bascom Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282604",
            "country_code": "US",
            "telephone_number": "408-885-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5821 Jameson Ct",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956080820",
            "country_code": "US",
            "telephone_number": "916-486-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-07-29",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A164737",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "1023687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.