Amy Yetasook MD Incorporated
NPI 1003512559ActiveOrganization· Surgery· San Pedro, CA
Surgery in San Pedro, California, registered in NPPES in February 2023. The authorized official on file is Amy Yetasook, M.D., President.
Overview
| NPI | 1003512559 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 6, 2023 |
| Last updated in NPPES | Feb 6, 2023 |
| Certified by provider | Feb 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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