Provider Demographics
NPI:1497755466
Name:YEE, JOHN WAI-YING (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:WAI-YING
Last Name:YEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5575 W LAS POSITAS BLVD
Mailing Address - Street 2:#130
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-5801
Mailing Address - Country:US
Mailing Address - Phone:925-463-0590
Mailing Address - Fax:925-463-0708
Practice Address - Street 1:5575 W LAS POSITAS BLVD
Practice Address - Street 2:#130
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-5801
Practice Address - Country:US
Practice Address - Phone:925-463-0590
Practice Address - Fax:925-463-0708
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG39802207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G398020Medicaid
CAG39802OtherMEDICAL LIC.
A47971Medicare UPIN
CA00G398020Medicaid