Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bao Yang, PA-C

Individual provider Medical Physician Assistant · NPI 1154723500

Bao Yang, PA-C is a Physician Assistant in Ponte Vedra Beach, Florida. Qualified in 2019, 7 years ago. Practices with Beaches Dermatology, PA, a 15-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

103 Solana Rd Ste B
Ponte Vedra Beach, FL 32082-2231
Phone: (904) 273-2717
Fax: (904) 273-0410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 791 Amelia Island Pkwy, Fernandina Beach, FL 32034-9126 — (904) 261-7500
  • 614 E Twincourt Trl, Saint Augustine, FL 32095-9090 — (904) 808-7107

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9113236 (FL)

Record details

NPI number1154723500
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 17, 2014
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address103 Solana Rd Ste B, Ponte Vedra Beach, FL 32082-2231

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Beaches Dermatology, P.A. — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ponte Vedra Beach