Individual provider Active NPI

Philip Yen, M.D.

  • Diagnostic Radiology Physician
  • Sacramento, CA
National Provider Identifier
1023284809
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A103448 Issued in CA
Practice address
1500 Expo Pkwy
Sacramento, CA 95815-4227
Phone
(916) 646-8300
Fax
(916) 736-5533
NPI assigned
May 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A103448 CA Primary
Diagnostic Radiology Physician 2085R0202X 35-099567 OH
Diagnostic Radiology Physician 2085R0202X 0101257381 VA

Addresses

Primary practice location

1500 Expo Pkwy
Sacramento, CA 95815-4227

Mailing address

10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071

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
I20100924000417 CA Practitioner - Diagnostic Radiology 1557487717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868

1020 29TH St
Sacramento, CA 95816-5125

1640 E Roseville Pkwy
Suite 9
Roseville, CA 95661-3902
Phone (916) 784-2277

1651 Exposition Blvd
Sacramento, CA 95815-5149
Phone (916) 731-7770

1655 Creekside Dr
Folsom, CA 95630-3489
Phone (916) 984-0739

1661 Creekside Dr
Folsom, CA 95630-3489
Phone (916) 984-0739

1680 E Roseville Pkwy
Suite 100
Roseville, CA 95661-3988
Phone (916) 783-8114

16911 Willow Glen Rd
Brownsville, CA 95919-9707
Phone (530) 675-2457

2 Medical Plaza Dr
Roseville, CA 95661-3042

200 Mission Blvd
Jackson, CA 95642-2564
Phone (916) 733-3777

2261 Douglas Blvd
Roseville, CA 95661-3831
Phone (916) 791-0900

2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600

2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731

2800 L St
Sacramento, CA 95816-5616

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

3133 Professional Dr
Auburn, CA 95603-2463
Phone (530) 885-8821

3161 L St
Sacramento, CA 95816-5234
Phone (916) 453-9999

4011 Woodcreek Oaks Blvd
Roseville, CA 95747-6834
Phone (530) 649-3338

406 Sunrise Ave
Roseville, CA 95661-4106
Phone (916) 755-7235

440 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3409

444 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3420

470 Plumas Blvd
Suite 201
Yuba City, CA 95991-5077
Phone (530) 741-3358

550 B St
Yuba City, CA 95991-5067
Phone (530) 749-3650

800 E Washington Blvd
Crescent City, CA 95531-8359
Phone (707) 464-8511

8118 Timberlake Way
Sacramento, CA 95823-5400
Phone (916) 681-8852

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-099567OHMDDiagnostic Radiology Physician
0101257381VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Diagnostic Radiology Current Accepting new patients
Regents of the University of California CurrentSince May 18, 2014 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jun 6, 2016 Accepting new patients
Regents of the University of California Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jun 6, 2016 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

3200 Bell Rd
Auburn, CA 95603
Phone (530) 886-7616

7551 Madison Ave
Citrus Hts, CA 95610
Phone (916) 904-3000

8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955

2700 Low Ct
Fairfield, CA 94534
Phone (707) 432-2500

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

10850 White Rock Rd
Rancho Cordova, CA 95670

3201 Data Dr
Rncho Cordova, CA 95670
Phone (916) 851-1424

2261 Douglas Blvd
Roseville, CA 95661
Phone (916) 783-1044

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

1020 29th St
Ste 120
Sacramento, CA 95816
Phone (916) 453-9999

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398

1500 Expo Pkwy
Sacramento, CA 95815
Phone (916) 646-8300

10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827

2801 K St
Ste 502
Sacramento, CA 95816
Phone (877) 515-0053

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1023284809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EXPO PKWY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154227",
            "telephone_number": "916-646-8300",
            "fax_number": "916-736-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEN",
        "first_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A103448",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-099567",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101257381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.