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

Phoenix Di Ying, PA

Individual provider Surgical Physician Assistant · NPI 1528546074

Phoenix Di Ying, PA is a Physician Assistant in Fremont, California. Qualified in 2018, 8 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Connecticut.

Years since qualifying
8
Licensed in
CA, CT
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3200 Kearney St
Fremont, CA 94538-2299
Phone: (510) 490-1222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 34 Maple St, Norwalk, CT 06850 — (203) 852-2188

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA57289 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PENDING (CT)

Record details

NPI number1528546074
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 6, 2018
Last updated in NPPESDecember 18, 2019
Certification dateDecember 18, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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