Active NPI
Iris Yung, MD
- Neurology Physician
- Oakland, CA
National Provider Identifier
1013183813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A101284
- Practice address
- 3701 Broadway
Oakland, CA 94611-5613 - Phone
- (800) 777-4912
- NPI assigned
- May 1, 2008
- Last updated
- Aug 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A101284 | CA | Primary |
Addresses
Primary practice location
3701 Broadway
Oakland, CA 94611-5613
Mailing address
3701 Broadway
Oakland, CA 94611-5613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101284 | CA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1013183813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 BROADWAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 BROADWAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115613",
"telephone_number": "800-777-4912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUNG",
"first_name": "IRIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A101284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.