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NPI Code Detail

MEDICARE: DR. SHELLEY DIANE YAMAMOTO M.D.

MEDICARE: DR. SHELLEY DIANE YAMAMOTO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianA67402CA

General Provider Information

NPI Number : 1629112768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHELLEY DIANE YAMAMOTO M.D.
Provider Business Mailing Address
First Line : 125 SAN MIGUEL AVE
Second Line :
City : SALINAS
State : CA
Zip : 93901-3037
Country : US
Telephone Number : 831-840-9435
Fax Number :
Provider Business Practice Location Address
First Line : 201 9TH ST
Second Line :
City : MARINA
State : CA
Zip : 93933-6039
Country : US
Telephone Number : 866-957-2256
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2007
Last Update Date : 10/02/2020

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Directions to “ DR. SHELLEY DIANE YAMAMOTO M.D.” Practice Location

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