Provider Demographics
NPI:1518092857
Name:HSIA, OLIVIA YAN-SHUI (MD)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:YAN-SHUI
Last Name:HSIA
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 1:27101 HORSESHOE LN
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1934
Mailing Address - Country:US
Mailing Address - Phone:650-493-2671
Mailing Address - Fax:408-999-0589
Practice Address - Street 1:105 N BASCOM AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1811
Practice Address - Country:US
Practice Address - Phone:408-999-2900
Practice Address - Fax:408-999-0589
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG44210207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G442100Medicaid
CA00G442102Medicare PIN
CAL49586Medicare UPIN
CA00G442100Medicaid
CA00G442103Medicare PIN