Individual provider Active NPI

Kar-Wai Yung, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Bernardino, CA
National Provider Identifier
1003040270
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A113792 Issued in CA
Practice address
1760 W 16TH St
San Bernardino, CA 92411-1160
Phone
(909) 473-1200
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A113792 CA Primary

Addresses

Primary practice location

1760 W 16TH St
San Bernardino, CA 92411-1160

Mailing address

25612 Barton Rd Ste 266
Loma Linda, CA 92354-3110
Phone (909) 473-1200

Other identifiers 1

IdentifierTypeStateIssuer
A113792OtherCACA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131108000512 CA Practitioner - Physical Medicine and Rehabilitation 1759516271 Reassigns benefits to 2 organizations
Practice locations: San Bernardino, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A113792CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Rehab Consultants Inc Physical Medicine & Rehabilitation CurrentSince Jan 23, 2018 Accepting new patients
West Coast Health and Rehab PC Physical Medicine & Rehabilitation CurrentSince Apr 1, 2017 Accepting new patients

Locations

25612 Barton Rd
Loma Linda, CA 92354
Phone (909) 659-3298

700 E Highland Ave
Redlands, CA 92374
Phone (909) 792-5083

3688 Nye Ave
Riverside, CA 92505
Phone (951) 351-2800

1760 W 16th St
Sn Bernrdno, CA 92411
Phone (909) 473-1200

Interoperability endpoints

  • Direct secure messaging: kyung12460@direct.llu.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1003040270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25612 BARTON RD STE 266",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543110",
            "telephone_number": "909-473-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 W 16TH ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111160",
            "telephone_number": "909-473-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNG",
        "first_name": "KAR-WAI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A113792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A113792",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.