DR. PETER KYUNG-SUN YANG (NPI# 1669480760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669480760 |
| Entity Type | Individual |
| Full Name | DR. PETER KYUNG-SUN YANG |
| Credential | M.D. |
| Practice Address |
1103 Rivergate Dr Lodi CA 95240-0545 |
| Practice Telephone | 2093346593 |
| Mailing Telephone | 2093346593 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A37472 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376902767 | Peter Yang | Case Manager/Care Coordinator | 3870 Rosin Court Ste 130, Sacramento, CA 95834 | 2016-02-15 |
| 1952714305 | Peter Yang | Licensed Vocational Nurse | 3862 Faulkner Ct, Irvine, CA 92606-1720 | 2014-06-03 |
| 1750459012 | Peter Thai Yang | Family Medicine | 1504 White Bear Ave North, Saint Paul, MN 55106 | 2006-12-02 |
| 1104835388 | Peter T Yang | Obstetrics & Gynecology | 399 E Highland Ave Ste 516, San Bernardino, CA 92404-3875 | 2006-08-05 |
| 1760095335 | Peter Yang | Pharmacist | 1710 N Farmersville Blvd, Farmersville, CA 93223-2306 | 2020-08-24 |
| 1174183230 | Peter K Yang | Family Medicine | 300 Lafayette Ave Se Ste 4000, Grand Rapids, MI 49503-4692 | 2019-06-19 |
| 1659722130 | Peter Huayue Yang | Neurological Surgery | 660 S Euclid Ave, Box 8057, Saint Louis, MO 63110-1010 | 2016-06-27 |
| 1932349123 | Peter Yia Yang | Social Worker | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2009-02-27 |
| 1881846483 | Peter C. Yang | Internal Medicine | 102 Endicott St, Danvers, MA 01923-3623 | 2008-10-15 |
| 1639356728 | Peter Yang | Pharmacist | 44 N Central Ave, Valley Stream, NY 11580-3817 | 2008-01-30 |
| Street Address |
1103 RIVERGATE DR |
| City | LODI |
| State | CA |
| Zip Code | 95240-0545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
| 1548747082 | Gill and Patel Dental Corporation | Dentist | 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 | 2018-07-27 |
| 1629511308 | Jose Daniel Garcia | Licensed Vocational Nurse | 12755 Ca-88, Lodi, CA 95240 | 2016-11-29 |
| 1104372754 | Jocelyn Janel Shilue | Specialist/Technologist | 705 Brandywine Drive, Lodi, CA 95240 | 2016-09-01 |
| 1750735965 | Natharchia R Peoples | Counselor | 9150 Ca-12, Lodi, CA 95240 | 2016-04-14 |
| 1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
| 1114317195 | Carol Kooyman | Speech-Language Pathologist | 831 So. Lee Ave., Lodi, CA 95240 | 2015-01-29 |
| 1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1902172406 | Sital Singh | Internal Medicine | 999 S Fairmont Ave Ste 125, Lodi, CA 95240 | 2012-03-29 |
| Find all providers in zip 95240 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831345644 | Jacqualin Miller | Obstetrics & Gynecology | 999 S. Fairmont Ave., Ste. 230, Lodi, CA 95240-5142 | 2008-08-12 |
| 1952433062 | Kamal Kumar Dutta | Obstetrics & Gynecology | 426 Passaic Ave, Lodi, NJ 07644-1534 | 2007-03-12 |
| 1134232960 | Manjeet K Bryson | Obstetrics & Gynecology | 999 South Fairmont Ste 225, P Gill Obstetrics & Gynecology Medical Grp Inc, Lodi, CA 95240 | 2006-08-16 |
| 1962401901 | Nicole Tate | Obstetrics & Gynecology | 999 S Fairmont Ave, Suite 225, Lodi, CA 95240-5100 | 2005-07-20 |
| 1851650469 | Alecia Nicole Russell | Obstetrics & Gynecology | 999 S Fairmont Ave, Ste. 230, Lodi, CA 95240-5100 | 2012-05-16 |
| 1598889081 | Lodi Obstetrics and Gynecology Medical Group | Obstetrics & Gynecology | 999 S Fairmont Ave, Suite 200, Lodi, CA 95240-5100 | 2007-03-19 |
| 1588736508 | Kimberley E Fillmore | Obstetrics & Gynecology | 999 S Fairmont Ave, Ste. 230, Lodi, CA 95240-5100 | 2006-11-14 |
| 1497762249 | Robert Glenn Howen | Obstetrics & Gynecology | 999 S Fairmont Ave, Ste 200, Lodi, CA 95240 | 2006-08-02 |
| 1568487213 | Carol Lynn Nakashima | Obstetrics & Gynecology | 999 S Fairmont Ave, Ste 200, Lodi, CA 95240 | 2006-07-13 |
| 1477578128 | Philip A Dodd | Obstetrics & Gynecology | 999 S Fairmont Ave, Suite 200, Lodi, CA 95240-5100 | 2006-07-13 |
| Find all providers in LODI | ||||
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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.