Individual provider Active NPI

Carmen Ka Man Yung, FNP-BC

  • Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1003475450
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95012996 Issued in CA
Practice address
1479 Ygnacio Valley Rd Ste 150
Walnut Creek, CA 94598-2986
Phone
(925) 296-7340
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012996 CA
Nurse Practitioner 363L00000X NP95012996 CA Primary

Addresses

Primary practice location

1479 Ygnacio Valley Rd Ste 150
Walnut Creek, CA 94598-2986

Mailing address

1450 Treat Blvd Ste 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201209001471 CA Practitioner - Nurse Practitioner 0345673729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

1479 Ygnacio Valley Rd
Suite 150
Walnut Creek, CA 94598-2986
Phone (925) 941-4058

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
89.54
Promoting interoperability
100
Improvement activities
40
Cost
74.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95012996CAMDNurse Practitioner
95012996CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Physician Network CurrentSince May 8, 2022 Accepting new patients
Lifelong Medical Care CurrentSince Dec 7, 2020 Accepting new patients
Lifelong Medical Care CurrentSince Dec 7, 2020 Accepting new patients

Locations

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

3075 Adeline St
Ste 280
Berkeley, CA 94703
Phone (510) 486-3415

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597

1479 Ygnacio Valley Rd
Ste 150
Walnut Creek, CA 94598
Phone (925) 296-7340

Interoperability endpoints

  • Direct secure messaging: cyung150188@ehr.johnmuirhealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1003475450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 YGNACIO VALLEY RD STE 150",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982986",
            "telephone_number": "925-296-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNG",
        "first_name": "CARMEN",
        "middle_name": "KA MAN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012996",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95012996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.