Healthcare Provider Details

I. General information

NPI: 1164616686
Provider Name (Legal Business Name): BARBARA SUK YATES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2007
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 E AVENUE I
LANCASTER CA
93535-1916
US

IV. Provider business mailing address

335 E AVENUE I
LANCASTER CA
93535-1916
US

V. Phone/Fax

Practice location:
  • Phone: 661-471-4000
  • Fax: 661-524-2344
Mailing address:
  • Phone: 661-471-4000
  • Fax: 661-524-2344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA97828
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: