Healthcare Provider Details

I. General information

NPI: 1558274886
Provider Name (Legal Business Name): YATING CAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13640 N 99TH AVE STE 600
SUN CITY AZ
85351-2867
US

IV. Provider business mailing address

13640 N 99TH AVE STE 600
SUN CITY AZ
85351-2867
US

V. Phone/Fax

Practice location:
  • Phone: 623-972-2116
  • Fax:
Mailing address:
  • Phone: 623-972-2116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number255143
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: