Provider Demographics
NPI:1679580351
Name:YAP, CAROLINE GUEVARA (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:GUEVARA
Last Name:YAP
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 1:2801 OLIVEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-6369
Mailing Address - Country:US
Mailing Address - Phone:707-688-1833
Mailing Address - Fax:707-554-6883
Practice Address - Street 1:2801 OLIVEWOOD LN
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-6369
Practice Address - Country:US
Practice Address - Phone:707-688-1833
Practice Address - Fax:707-554-6883
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10984207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
100203Medicare ID - Type Unspecified
G70997Medicare UPIN