Provider Demographics
NPI:1154306728
Name:YEE, AMBER L (MD)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:L
Last Name:YEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPT 34929
Mailing Address - Street 2:P.O. BOX 39000
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94139-0001
Mailing Address - Country:US
Mailing Address - Phone:925-952-2828
Mailing Address - Fax:925-952-2850
Practice Address - Street 1:2213 BUCHANAN RD
Practice Address - Street 2:SUITE 103
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-4265
Practice Address - Country:US
Practice Address - Phone:925-779-1331
Practice Address - Fax:925-779-1585
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200501285207Q00000X
CAA94050207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A940500Medicaid
NC140AROtherBCBS NC
NC5901569Medicaid
NC2044084Medicare ID - Type Unspecified
CAP00358163Medicare PIN
NC5901569Medicaid
CA00A940500Medicaid