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YAO SU
NPI 1205554672
Physician Assistant in Porterville, CA

Active since August 21, 2022PECOS EnrolledAccepts Medicare Assignment
465 W PUTNAM AVE, PORTERVILLE, CA 93257(559) 784-1110 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2023, Oct 11, 2022, Aug 21, 2022 (3 updates tracked since 2022).

About Yao Su NPPES

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

YAO SU (NPI 1205554672) is an individual physician assistant in Porterville, California, licensed in California (PA61758) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2022).

NPPES Registry Identity

NPI1205554672
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameYAO SU
Location Address465 W PUTNAM AVEPorterville, CA 93257-3320
Mailing Address465 W Putnam AvePorterville, CA 93257-3320 · (559) 784-1110
Phone(559) 784-1110
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2022
Enumeration DateAugust 21, 2022
Last NPPES UpdateJanuary 26, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1205554672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA61758
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
465 W PUTNAM AVE, Porterville, CA 93257
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Other Names 1

Other Name (5)John Su

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yao Su is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820461213
PECOS Enrollment IDI20230306002202
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93257 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
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.

LAUREN ALEXA MD
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 784-1110
DONALD JAMES CHRISTIAN P.A-C
Physician Assistant
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 784-1110
CATHERINE NICHOLAS MD
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 748-1110
DR. ASHOT MINASYAN MD
Internal Medicine (Cardiovascular Disease)
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 784-1110
JOSHUA CAZARES
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 748-1110
TANVEER SINGH MD
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 788-6156
JORGE LUIS CABALLERO MD
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 788-6156
JAMES ZHAO DO
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 748-1110

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 Yao Su's NPI number?

The NPI number for Yao Su is 1205554672. It was assigned to this individual provider in the NPPES registry on August 21, 2022. The provider is also known as John Su.

Where is Yao Su located?

Yao Su practices at 465 W Putnam Ave, Porterville, CA 93257. The listed phone number is (559) 784-1110.

What is Yao Su's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Yao Su enrolled in Medicare?

Yes. Yao Su is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Yao Su was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.