Yelena Kabanskaya MD Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

YELENA KABANSKAYA MD INC

Practice address

2425 Samaritan Dr
San Jose, CA 95124-3997

Phone

(408) 559-2011

NPI assigned

Mar 26, 2021

Last updated

Mar 26, 2021By 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

Yelena Kabanskaya, MDNPI 1891006714

Title

President

Phone

(408) 761-3245

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Yelena Kabanskaya, MD

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1891006714
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1932786910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6081 MERIDIAN AVE STE 70",
            "address_2": "#155",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202752",
            "telephone_number": "408-761-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243997",
            "telephone_number": "408-559-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELENA KABANSKAYA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "KABANSKAYA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-761-3245",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "MediTech",
            "affiliation": "Y",
            "affiliationName": "Good Samaritan Hospital",
            "address_1": "2425 Samaritan Dr",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951243997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mao-Jung Yeh
• Sandra T Yeh, M.D.
• Shuhsin Yeh
• Tzuoo-Ming Yeh, M.D.
• Dor Yakov Yehielli
• Laura Yelland, LCSW
• Katora Mae Yellow Horse-Ruiz, LCSW
• Zebib Yemane, MD
• Wesley Paul Yemoto, DDS
• Adam Jia-Li Yen, MD

• General Acute Care Hospital in San Jose, CA
• Providers in San Jose, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.