PHOENIX DI YING PA NPI 1528546074

NPI Information

NPI: 1528546074
Provider Name: PHOENIX DI YING, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: SUTTER BAY MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
3200 KEARNEY ST
FREMONT, CA
ZIP 94538
Phone: (510) 490-1222
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Phoenix Di Ying, PA is a surgical physician assistant in Fremont, CA with 6 years of experience. Phoenix Di Ying, PA NPI is 1528546074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3200 KEARNEY ST
FREMONT, CA
ZIP 94538-299
Phone: (510) 490-1222

The NPI 1528546074 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/6/2018 and was last updated on 12/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA57289	CALIFORNIA	Yes
2	363AS0400X	Physician Assistant	Surgical	PENDING	CONNECTICUT	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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