Individual provider Active NPI

Andia Yekan, PA-C

  • Medical Physician Assistant
  • San Francisco, CA
National Provider Identifier
1942046149
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA65789 Issued in CA
Practice address
1580 Valencia St Ste 201
San Francisco, CA 94110-4420
Phone
(415) 550-0811
Fax
(415) 550-0877
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X PA65789 CA Primary

Addresses

Primary practice location

1580 Valencia St Ste 201
San Francisco, CA 94110-4420

Mailing address

1580 Valencia St Ste 201
San Francisco, CA 94110-4420
Phone (415) 550-0811

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410001090 CA Practitioner - Physician Assistant 8224552310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Health Medical Group IncGroup PAC ID 4385808617, 10 clinicians

Practice addresses (Care Compare)

1580 Valencia St
Suite 201
San Francisco, CA 94110-4420
Phone (415) 550-0811

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
My Health Medical Group Inc Current Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

1580 Valencia St
Ste 201
San Francisco, CA 94110
Phone (415) 550-0811

Interoperability endpoints

  • Direct secure messaging: andia.yekan.1@24668.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1942046149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST STE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104420",
            "telephone_number": "415-550-0811",
            "fax_number": "415-550-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST STE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104420",
            "telephone_number": "415-550-0811",
            "fax_number": "415-550-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEKAN",
        "first_name": "ANDIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA65789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.