Healthcare Provider Details

I. General information

NPI: 1457709800
Provider Name (Legal Business Name): YIXI ZHANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2016
Last Update Date: 04/01/2023
Certification Date: 04/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 ROSS AVE STE 100
SAN JOSE CA
95124-3038
US

IV. Provider business mailing address

8679 HAYLOFT PL
RIVERSIDE CA
92508-7145
US

V. Phone/Fax

Practice location:
  • Phone: 669-577-6072
  • Fax:
Mailing address:
  • Phone: 951-275-4592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA166644
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA166644
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: