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DR. TISHA KAMNEODSUPHAPHOL YEH M.D.
NPI 1073764668
Pediatrics in Sacramento, CA

Active since October 01, 2008PECOS Enrolled
2315 STOCKTON BLVD, UC DAVIS MEDICAL CENTER - DEPARTMENT OF PEDIATRICS, SACRAMENTO, CA 95817(916) 734-2011 Get Directions Write a Review

NPPES record last updated: January 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tisha Kamneodsuphaphol Yeh M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TISHA KAMNEODSUPHAPHOL YEH M.D. (NPI 1073764668) is an individual pediatrics provider in Sacramento, California, licensed in California (A102013) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073764668
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. TISHA KAMNEODSUPHAPHOL YEHCredential: M.D.
Location Address2315 STOCKTON BLVD, UC DAVIS MEDICAL CENTER - DEPARTMENT OF PEDIATRICSSacramento, CA 95817-2201
Mailing Address2315 Stockton Blvd, Uc Davis Medical Center - Department Of PediatricsSacramento, CA 95817-2201 · (916) 734-2011
Phone(916) 734-2011
Sole ProprietorNo
Enumeration DateOctober 1, 2008
Last NPPES UpdateJanuary 3, 2014
✔ NPI 1073764668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · A102013✔ Licensed in MI · 4301095384
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2315 STOCKTON BLVD, Sacramento, CA 95817
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tisha Kamneodsuphaphol Yeh M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN STUCKER
Social Worker (Clinical)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5628
MARIA ISABEL AGUILAR
Registered Nurse
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8730
NATHAN JACOB VANDEN BERGE
Emergency Medicine
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8570
PETER SANTIAGO C.O., C.PED., FAAOP
Specialist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7045
SHIELA LEIGH SAMSON ANGULO DO
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5974
MS. KATHLEEN DOLORES VAN LEEUWEN MD
Surgery (Pediatric Surgery)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3229
STEPHEN MULFORD
Physical Therapy Assistant
2315 STOCKTON BLVD, ROOM 0512
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248
MR. MARK YAMADA
Occupational Therapist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tisha Yeh's NPI number?

The NPI number for Tisha Yeh is 1073764668. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Tisha Yeh located?

Tisha Yeh practices at 2315 Stockton Blvd Uc Davis Medical Center - Department Of Pediatrics, Sacramento, CA 95817. The listed phone number is (916) 734-2011.

What is Tisha Yeh's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tisha Yeh enrolled in Medicare?

Yes. Tisha Yeh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tisha Yeh was last updated on January 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.