JACK C YANG MD A MEDICAL CORPORATION
NPI 1306801188
Surgery - Vascular Surgery in San Diego, CA

Active since April 17, 2006
4033 3RD AVE, SUITE 204, SAN DIEGO, CA 92103(619) 255-1440(888) 900-0442 Get Directions Write a Review

NPPES record last updated: August 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack C Yang Md A Medical Corporation NPPES

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

JACK C YANG MD A MEDICAL CORPORATION (NPI 1306801188) is a healthcare organization registered as a vascular surgery in San Diego, California and active in the NPI registry since April 2006. The organization lists Jack C Yang, President, as its authorized official.

NPPES Registry Identity

NPI1306801188
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameJACK C YANG MD A MEDICAL CORPORATION
Location Address4033 3RD AVE, SUITE 204San Diego, CA 92103-2117
Mailing Address4077 5th Ave, Mer 62San Diego, CA 92103-2105 · (619) 255-1440 · Fax (888) 900-0442
Fax(888) 900-0442
Organization SubpartNo
Authorized OfficialJack C YangPresident · (619) 255-1440
Enumeration DateApril 17, 2006
Last NPPES UpdateAugust 14, 2017
NPI 1306801188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CA · G73002
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

4033 3RD AVE, San Diego, CA 92103

Other Identifiers 2

Medicare ID-Type UnspecifiedWG73002CCA · Corp Id #
Medicaid00G730022CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Otolaryngology
4033 3RD AVE, SUITE 104
SAN DIEGO, CA 92103
Nurse Practitioner (Acute Care)
4033 3RD AVE
SAN DIEGO, CA 92103
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4033 3RD AVE, SUITE 210
SAN DIEGO, CA 92103
Surgery
4033 3RD AVE, SUITE204
SAN DIEGO, CA 92103
Urology
4033 3RD AVE, SUITE 400
SAN DIEGO, CA 92103
Urology
4033 3RD AVE, SUITE 400
SAN DIEGO, CA 92103
Psychiatry & Neurology (Neurology)
4033 3RD AVE, SUITE 206
SAN DIEGO, CA 92103
Nurse Practitioner (Family)
4033 3RD AVE, SUITE 300
SAN DIEGO, CA 92103

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 Jack C Yang MD A Medical Corporation's NPI number?

The NPI number for Jack C Yang MD A Medical Corporation is 1306801188. It was assigned to this organization in the NPPES registry on April 17, 2006.

Where is Jack C Yang MD A Medical Corporation located?

Jack C Yang MD A Medical Corporation is located at 4033 3rd Ave Suite 204, San Diego, CA 92103. The listed phone number is (619) 255-1440.

What is Jack C Yang MD A Medical Corporation's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Jack C Yang MD A Medical Corporation was last updated on August 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.