Healthcare Provider Details

I. General information

NPI: 1235223223
Provider Name (Legal Business Name): TODD YAO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39275 MISSION BLVD STE 201
FREMONT CA
94539-3061
US

IV. Provider business mailing address

20289 STEVENS CREEK BLVD # 1026
CUPERTINO CA
95014-2258
US

V. Phone/Fax

Practice location:
  • Phone: 510-713-0628
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA95558
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: