Healthcare Provider Details

I. General information

NPI: 1801166442
Provider Name (Legal Business Name): CATHERINE S YAO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2012
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 SOUTH BASCOM AVENUE
SAN JOSE CA
95128
US

IV. Provider business mailing address

750 SOUTH BASCOM AVENUE
SAN JOSE CA
95128
US

V. Phone/Fax

Practice location:
  • Phone: 888-334-1000
  • Fax:
Mailing address:
  • Phone: 510-428-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA119644
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: