CISSY XI YANG (M.D.) – Ophthalmology Physician, NPI 1174977664

CISSY XI YANG (M.D.) is a healthcare provider. based in Sacramento, California. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. A169043 (CA). The NPI Number for CISSY XI YANG (M.D.) is 1174977664

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CISSY XI YANG (M.D.)
NPI
1174977664
Phone
(916) 731-8040
Address
1700 ALHAMBRA BLVD. SUITE 202
Enumeration Date
20 April 2016
Last Update Date
21 August 2025

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9167318040
Graduation Year
2016 (10 years ago)
PAC ID
6608107362
Group Practice PAC ID
2668455031
Professional Enrollment ID
I20210413002571
Address ID
CA958167050SA1700XBLVD303

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness95
Years active:10State licenses:1Other names

2,665 OPHTHALMOLOGY in CA

Provider Addresses for CISSY XI YANG (M.D.)

  • 1700 ALHAMBRA BLVD. SUITE 202

    SACRAMENTO, CA 95816

    Phone: (916) 731-8040

    Fax: (916) 300-2899

    Type: Mailing

  • 208, 122nd Avenue Northeast, Crescent Ponds, Blaine, Anoka County, Minnesota, 55434, United States

    BLAINE, MN 554342648

    Phone:

    Type: Mailing

  • 106 Gift Gallery, 700, Lawrence Expressway, Santa Clara, Santa Clara County, California, 95014-0721, United States

    SANTA CLARA, CA 950515173

    Phone: (408) 851-3914

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210413002571IOphthalmologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95816)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668455031View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA
-CA
O P T O M E T R YCA
O P T O M E T R YAZ
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
Ophthalmology, NeurologyCA
O P H T H A L M O L O G YIL
O P T O M E T R YTX

Reviews

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Frequently asked questions

Can I verify CISSY XI YANG (M.D.) with an NPI only?
You can start verification with NPI 1174977664 for CISSY XI YANG (M.D.), then check state licensing separately.
Does CMS list CISSY XI YANG (M.D.) as active?
Yes — CISSY XI YANG (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes CISSY XI YANG (M.D.)?
For research purposes, treat CISSY XI YANG (M.D.) as Ophthalmology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CISSY XI YANG (M.D.) on a map?
Expect Sacramento, California as a primary anchor for CISSY XI YANG (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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