Provider Demographics
NPI:1255523007
Name:YANG, AMOS S (MD)
Entity type:Individual
Prefix:DR
First Name:AMOS
Middle Name:S
Last Name:YANG
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 1:10348 S TANTAU AVE
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3544
Mailing Address - Country:US
Mailing Address - Phone:626-272-7120
Mailing Address - Fax:510-250-7733
Practice Address - Street 1:10348 S TANTAU AVE
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3544
Practice Address - Country:US
Practice Address - Phone:626-272-7120
Practice Address - Fax:510-250-7733
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA97982207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACD980AMedicare PIN
CACD980WMedicare PIN
CACD980VMedicare PIN
CACD980QMedicare PIN
CACD980TMedicare PIN
CACD980IMedicare PIN
CACD980RMedicare PIN
CACD980UMedicare PIN
CACD980SMedicare PIN