Individual provider Active NPI

Jenny Lee Yi, M.D.

  • Psychiatry Physician
  • El Centro, CA
National Provider Identifier
1003133018
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
147197 Issued in CA
Practice address
1295 W State St
El Centro, CA 92243-2845
Phone
(442) 265-1920
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 147197 CA Primary

Addresses

Primary practice location

1295 W State St
El Centro, CA 92243-2845

Mailing address

1295 W State St
El Centro, CA 92243-2845
Phone (442) 265-1920

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
I20191018001176 CA Practitioner - Psychiatry 5193032720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
George Washington University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of ImperialGroup PAC ID 9739166927, 17 clinicians

Practice addresses (Care Compare)

202 N 8TH St
El Centro, CA 92243-2302
Phone (442) 265-1570

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147197CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Imperial CurrentSince Jul 23, 2019 Accepting new patients

Locations

202 N 8th St
Rm 200
El Centro, CA 92243

202 N 8th St
El Centro, CA 92243
Phone (442) 265-1570

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1003133018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 W STATE ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432845",
            "telephone_number": "442-265-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 W STATE ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432845",
            "telephone_number": "442-265-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "JENNY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "147197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.