Van Dyke Yun Medical Group Pacific Dermatopathology & Jasmine Yun MD a

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

Legal business name

VAN DYKE YUN MEDICAL GROUP PACIFIC DERMATOPATHOLOGY & JASMINE YUN MD A

Practice address

12409 Ventura CT Ste C
Studio City, CA 91604-2471

Phone

(818) 900-6007

Fax

(818) 900-6607

NPI assigned

Jul 22, 2010

Organization subpart

No

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

Authorized official

Name

Jasmine H. Yun, MDNPI 1629195656

Title

Owner/Partner

Phone

(818) 900-6007

Specialties & licenses 3

Addresses

Other names 1

• Pacific Dermatopathology Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine Yun, MD

  • Dermatology Physician
  • Studio City, CA
  • NPI 1629195656
  Medicare reassignment Care Compare group NPD Authorized official
• Gregory S Van Dyke, MD, PHD

  • Dermatology Physician
  • Studio City, CA
  • NPI 1841328614
  Medicare reassignment Care Compare group NPD
• Marc David Chalet, M.D.

  • Dermatopathology Physician
  • Santa Monica, CA
  • NPI 1780613588
  NPD (past)

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1013220722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12409 VENTURA CT STE C",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042471",
            "telephone_number": "818-900-6007",
            "fax_number": "818-900-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12409 VENTURA CT STE C",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042471",
            "telephone_number": "818-900-6007",
            "fax_number": "818-900-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN DYKE YUN MEDICAL GROUP PACIFIC DERMATOPATHOLOGY & JASMINE YUN MD A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "818-900-6007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Dermatopathology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Dermatopathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Tsutsui
• Kasey Ann Turner
• Martha Uhl, LMFT
• United Home Health Agency, Inc.
• Van Dyke Yun Dermatology
• Gregory S Van Dyke, MD, PHD
• Catharina Maria Van Houten-Williams, D.C.
• Vanguard Hospice, Inc.
• Greg Vanvakaris, D.C.
• Christina Cara Vartan-Aghadjanian

• Dermatopathology (Pathology) Physician in Studio City, CA
• Providers in Studio City, CA by specialty
• Dermatopathology (Pathology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.