PHOENIX DI YING (NPI# 1528546074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528546074 |
| Entity Type | Individual |
| Full Name | PHOENIX DI YING |
| Credential | PA |
| Practice Address |
3200 Kearney St Fremont CA 94538-2299 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 5104901222 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA57289 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PENDING | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 34 Maple St, Norwalk, CT 06850 | 2038522188 |
| Street Address |
3200 KEARNEY ST |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-2299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225034556 | Aruna Reddy | Family Medicine | 3200 Kearney St, Fremont, CA 94538-2299 | 2005-06-22 |
| 1235625054 | Reetu Nigam | Dietitian, Registered | 3200 Kearney St, Fremont, CA 94538-2299 | 2018-07-04 |
| 1700378460 | Amrit Kaur Bola | Nurse Practitioner | 3200 Kearney St, Fremont, CA 94538 | 2018-05-30 |
| 1154840767 | Rodger Ruby | Family Medicine | 3200 Kearney St, Fremont, CA 94538-2299 | 2017-09-14 |
| 1669908968 | Lena Y Sun | Podiatrist | 3200 Kearney St, Fremont, CA 94538-2299 | 2017-05-04 |
| 1396279964 | Dipal Savla | Pediatrics | 3200 Kearney St, Fremont, CA 94538-2299 | 2017-04-20 |
| 1851823421 | Phuoc Thanh Dinh Vu | Family Medicine | 3200 Kearney St, Fremont, CA 94538-2299 | 2017-04-01 |
| 1215477377 | Erin Hodgson | Dietitian, Registered | 3200 Kearney St, Fremont, CA 94538-2299 | 2017-03-08 |
| 1174071013 | Sarah Monje | Dietitian, Registered | 3200 Kearney St, Fremont, CA 94538-2299 | 2016-09-20 |
| 1144676404 | Joyce Lee | Internal Medicine | 3200 Kearney St, Fremont, CA 94538 | 2016-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063575512 | Jennifer Ann Gregovich | Physician Assistant | 39400 Paseo Padra Parkway, Embarcadero Building, General Surgery Dept., Fremont, CA 94538-2310 | 2006-12-18 |
| 1821635467 | Shane Ashbaugh | Physician Assistant | 38690 Stivers St Ste A, Fremont, CA 94536-5276 | 2019-12-03 |
| 1730572603 | Nina Khatibi | Physician Assistant | 39141 Civic Center Dr, 335, Fremont, CA 94538-5818 | 2015-03-16 |
| 1891108270 | Susan Glaubiger | Physician Assistant | 38690 Stivers St, #a, Fremont, CA 94536-5279 | 2014-06-03 |
| 1518280726 | Melanie Castro | Physician Assistant | 3200 Kearney St, Fremont, CA 94538-2299 | 2010-03-03 |
| 1710125919 | Kevin Gary Loontjer | Physician Assistant | 2740 N Clarkson St, Fremont, NE 68025-7716 | 2009-01-26 |
| 1780822031 | Michael Hom | Physician Assistant | 3868 Mowry Ave, Fremont, CA 94538-1430 | 2009-01-24 |
| 1700099165 | Gurleen Deol | Physician Assistant | 3200 Kearney St, Fremont, CA 94538-2299 | 2007-05-08 |
| 1164583092 | Sean M. Kennedy | Physician Assistant | 39400 Paseo Padre Pkwy, Surgery Dept - Embarcadero Bldg, Fremont, CA 94538-2310 | 2006-12-13 |
| 1609937523 | Elaine Dolores Berger | Physician Assistant | 39400 Paseo Padre Pkwy, Surgery Department, Fremont, CA 94538-2310 | 2006-12-13 |
| Find all providers in FREMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.